Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Summit Family Dental Care PC

Organization General Practice Dentistry · NPI 1114261104

Summit Family Dental Care PC is a General Practice Dentistry in Medford, Oregon. Licensed in Oregon. Registered with an NPI since 2012.

Licensed in
OR
In the registry since
2012
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

906 Royal Ct
Medford, OR 97504-6139
Phone: (541) 779-2636
Fax: (541) 779-3282
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence D9139 (OR)
General Practice Dentistry Taxonomy 1223G0001X · Licence D9158 (OR)

Record details

NPI number1114261104
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nicole Keck-Erickson — Dentist · (541) 779-2634
NPI enumeratedNovember 15, 2012
Last updated in NPPESNovember 19, 2012
Mailing address906 Royal Ct, Medford, OR 97504-6139

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