Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1073770764 Individual Practitioner Male Practitioner

Dr. Jack Randolph Miller , DMD

Dentist - General Practice • Bend, OR

Professional Overview & Biography Verified Profile Summary

Dr. Jack Miller, DMD is a registered healthcare professional specializing in Dentist - General Practice in Bend, OR. Practice services are available at 2078 NE PROFESSIONAL CT under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2078 Ne Professional Ct

Bend, OR 977016077

Telephone 5413822281
Associated Practice Facility / Clinic
🏢 Ferguson Bybee Dental Llc Facility NPI 1265783914

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Bend, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.7 Yrs
Regional Practice Density
72 Specialists

Practicing in Bend, OR (1994 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 - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License OR D7074

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

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

1 Associated Practitioners
NPI 1184881849

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active September 02, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location September 02, 2008

Registered at 2078 NE PROFESSIONAL CT, BEND, OR 977016077 (Tel: 5413822281)

📍
Updated Business Mailing Address September 02, 2008

Registered at 2078 NE PROFESSIONAL CT, BEND, OR 977016077 (Tel: 5413822281)

👤
Provider Name / Credentials Updated September 02, 2008

Recorded as JACK MILLER, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 02, 2008

Dentist (License #D7074 in OR)

🟢
Initial NPI Registration & Enumeration May 20, 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: 1073770764
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 20, 2008
Last Update: September 02, 2008
Sole Proprietor: No

Mailing Address

2078 Ne Professional Ct

Bend, OR 977016077

Phone: 5413822281

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.