Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1871762773 Individual Practitioner Male Practitioner

Dr. John Randall Miller , DDS

Dentist • Godfrey, IL

Professional Overview & Biography Verified Profile Summary

Dr. John Miller, DDS is a registered healthcare professional specializing in Dentist in Godfrey, IL. Practice services are available at 5800 GODFREY RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5800 Godfrey Rd

Godfrey, IL 620352426

Telephone 6184684414
Fax 6184682394
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Godfrey, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
4 Specialists

Practicing in Godfrey, IL (4751 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
9176253 (IL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Benedicta Odemerho , FNP

Nurse Practitioner - Family

NPI 1427332956

Family Nurse Practitioner

Dana Longmeyer , FNP

Nurse Practitioner - Family

NPI 1649491184

Family Nurse Practitioner

Virginia Scroggins

Nurse Practitioner - Family

NPI 1881823839
Kayla Hartigan

Specialist/Technologist - Athletic Trainer

NPI 1952829806

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active February 25, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location February 25, 2008

Registered at 5800 GODFREY RD, GODFREY, IL 620352426 (Tel: 6184684414)

📍
Updated Business Mailing Address February 25, 2008

Registered at 5800 GODFREY RD, GODFREY, IL 620352426 (Tel: 6184684414)

👤
Provider Name / Credentials Updated February 25, 2008

Recorded as JOHN MILLER, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 25, 2008

Dentist

🟢
Initial NPI Registration & Enumeration February 25, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1871762773
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 25, 2008
Last Update: February 25, 2008
Sole Proprietor: Yes

Mailing Address

5800 Godfrey Rd

Godfrey, IL 620352426

Phone: 6184684414

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.