IndividualActive
Richard Jergensen, DDS
NPI 1063426518 · Dentist · Medford, OR
Provider details
- NPI number
- 1063426518
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 27771 (CA)
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
11 Rossanley Dr
Medford, OR 97501-1713
Phone: (541) 973-2983
Fax: (707) 422-1702
Approximate (ZIP-level) locationGet directions
Mailing address
2440 Quail Run
Medford, OR 97504-6307
Registry dates
- Enumerated
- 2006-07-28
- Last updated
- 2016-12-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.