Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1669709812 Individual Practitioner Male Practitioner

Dr. Jack Benjamin Dunham , DMD

Dentist • Eugene, OR

Professional Overview & Biography Verified Profile Summary

Dr. Jack Dunham, DMD is a registered healthcare professional specializing in Dentist in Eugene, OR. Practice services are available at 4000 E 30TH AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4000 E 30th Ave

Eugene, OR 974050640

Telephone 5414633000
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Eugene, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.2 Yrs
Regional Practice Density
70 Specialists

Practicing in Eugene, OR (1289 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

State License OR D4322

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

Commercial Insurance / Payer ID State License - Dentist
4322 (OR)

Practice Associates & Co-Workers

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

4 Associated Practitioners
NPI 1245642776

Registered Dental Hygienist

Harry Vandervort , FNP

Nurse Practitioner - Family

NPI 1295856532

Family Nurse Practitioner

Laura Greene , CNP

Nurse Practitioner - Family

NPI 1336337245

Certified Nurse Practitioner

Amy Kappeler

Counselor - Mental Health

NPI 1346176674

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active November 09, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location November 09, 2009

Registered at 4000 E 30TH AVE, EUGENE, OR 974050640 (Tel: 5414633000)

📍
Updated Business Mailing Address November 09, 2009

Registered at 1640 G ST, SPRINGFIELD, OR 974774226 (Tel: 5416823550)

👤
Provider Name / Credentials Updated November 09, 2009

Recorded as JACK DUNHAM, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 09, 2009

Dentist (License #D4322 in OR)

🟢
Initial NPI Registration & Enumeration November 09, 2009

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: 1669709812
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 09, 2009
Last Update: March 07, 2023
Sole Proprietor: Yes

Mailing Address

1640 G St

Springfield, OR 974774226

Phone: 5416823550

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.