IndividualActive
Darren Ravassipour, D.D.S., M.S., PC
NPI 1215042122 · Orthodontics and Dentofacial Orthopedics Dentistry · Medford, OR
Provider details
- NPI number
- 1215042122
- Entity type
- Individual
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Credential
- D.D.S., M.S., PC
- Sex
- Male
- Sole proprietor
- No
- License
- D8177 (OR)
Specialties & taxonomies
Dental Providers
Practice location
3180 State St Ste 102
Medford, OR 97504-8493
Phone: (541) 779-6200
Fax: (541) 779-6203
Approximate (ZIP-level) locationGet directions
Mailing address
3180 State St Ste 102
Medford, OR 97504-8493
Registry dates
- Enumerated
- 2006-08-20
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.