Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1518966423 Deactivated / Inactive NPI Male Practitioner

Dr. Mark A. Miller , DMD

Dentist - General Practice • Carlton, OR

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Mark Miller has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 21, 2005
NPI Deactivation Date March 20, 2006
Total Practice Duration ~1 Years of Practice (2005 – 2006)

Professional Overview & Biography Verified Profile Summary

Dr. Mark Miller, DMD was a registered Dentist - General Practice practicing in Carlton, OR. Throughout an active medical career spanning 1 years, Dr. Miller provided care at the practice location at 133 E MAIN until profile deactivation on 2006-03-20.

Practice Location & Contact Primary Location

Practice Address

133 E Main

Carlton, OR 97111

Telephone 5038527147
Fax 5038527149
Associated Practice Facility / Clinic
🏢 Carlton Dental, Llc Facility NPI 1275912560

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Carlton, OR

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

Practicing in Carlton, 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 5513

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
075390 (OR)

Practice Associates & Co-Workers

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

1 Associated Practitioners
NPI 1134573843

Career & Practice History Timeline

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

7 Historical Events
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Updated Practice Location July 08, 2007

Registered at 133 E MAIN, CARLTON, OR 97111 (Tel: 5038527147)

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Updated Business Mailing Address July 08, 2007

Registered at PO BOX 220, CARLTON, OR 971110220 (Tel: 5038527147)

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Provider Name / Credentials Updated July 08, 2007

Recorded as MARK MILLER, DMD

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

Dentist (License #5513 in OR)

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NPI Profile Reactivated April 06, 2006

Record officially reactivated for active practice on April 06, 2006

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NPI Profile Deactivated March 20, 2006

Record deactivated on March 20, 2006

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Initial NPI Registration & Enumeration July 21, 2005

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: 1518966423
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 21, 2005
Last Update: July 13, 2026
Deactivation Date: March 20, 2006
Sole Proprietor: No

Mailing Address

Po Box 220

Carlton, OR 971110220

Phone: 5038527147

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.