OrganizationActive
Ume Crater Lake LLC
NPI 1326739228 · Dental Clinic/Center · Medford, OR
Provider details
- NPI number
- 1326739228
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Sean Wasden, Coo(208) 965-9415
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
1094 Royal Ct
Medford, OR 97504-6138
Phone: (541) 779-4344
Street-level locationGet directions
Mailing address
624 3rd St S
Nampa, ID 83651-3840
Registry dates
- Enumerated
- 2023-05-19
- Last updated
- 2023-05-19
- Certified
- 2023-05-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.