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 provides 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 Not confirmed with CMS for 13 years — call before visiting
Phone: (541) 779-2636
Fax: (541) 779-3282
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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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