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

Ume Crater Lake LLC

Organization Dental Clinic/Center · NPI 1326739228

Ume Crater Lake LLC is a Dental Clinic/Center in Medford, Oregon. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1094 Royal Ct
Medford, OR 97504-6138
Phone: (541) 779-4344
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1326739228
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sean Wasden — Coo · (208) 965-9415
NPI enumeratedMay 19, 2023
Last updated in NPPESMay 19, 2023
Certification dateMay 19, 2023
Mailing address624 3rd St S, Nampa, ID 83651-3840

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