Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1164596201 Individual Practitioner Female Practitioner

Dr. Miranda Elizabeth Davis , DDS

Dentist - General Practice • Bend, OR

Professional Overview & Biography Verified Profile Summary

Dr. Miranda Davis, DDS is a registered healthcare professional specializing in Dentist - General Practice in Bend, OR. Practice services are available at 2084 NE PROFESSIONAL CT under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2084 Ne Professional Ct

Bend, OR 977016077

Telephone 5413833005
Fax 5413831883
Associated Practice Facility / Clinic
🏢 Asc Gi Diagnostic Center, Llc Facility NPI 1174551758

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

CMS Verified: 2024-07-25
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License OR D11168

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License WA DE00010692

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.

Secondary Practice Locations

2209 E 32nd St

Tacoma, WA 984044922

Phone: 2535930232

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Wendy Dryden , MD

Family Medicine

NPI 1003252354

Doctor of Medicine (M.D.)

Christopher Russell , PA-C

Physician Assistant

NPI 1003864927

Physician Assistant (Certified)

Sierra Hopper , MSN

Counselor - Mental Health

NPI 1013756725

Master of Science in Nursing

Paisley Pijuan , LCSW

Social Worker - Clinical

NPI 1043837578

Licensed Clinical Social Worker

Siena Falzon , QMHA

Counselor - Mental Health

NPI 1043948524
Dr. Haley Maurer , DDS

Dentist - General Practice

NPI 1053186494

Doctor of Dental Surgery

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Business Mailing Address July 25, 2024

Registered at PO BOX 4228, PORTLAND, OR 972084228 (Tel: 5413833005)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 25, 2024

Dentist (License #D11168 in OR)

📍
Updated Practice Location June 27, 2024

Registered at 2084 NE PROFESSIONAL CT, BEND, OR 977016077 (Tel: 5413833005)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 2209 E 32ND ST, TACOMA, WA 984044922 (Tel: 2535930232)

📍
Updated Business Mailing Address July 08, 2007

Registered at PO BOX 680, TACOMA, WA 984010680 (Tel: 4152793897)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as MIRANDA DAVIS, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #DE00010692 in WA)

🟢
Initial NPI Registration & Enumeration November 20, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Miranda Davis. Be the first to share your experience!

Sign in to leave a review for Dr. Miranda Davis

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1164596201
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 20, 2006
Last Update: July 25, 2024
Sole Proprietor: No

Mailing Address

Po Box 4228

Portland, OR 972084228

Phone: 5413833005

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.