JACK RANDOLPH MILLER DMD
NPI 1073770764
Dentist - General Practice in Bend, OR

Q: What is Jack Miller's NPI number?

The NPI number for Jack Miller is 1073770764. It was assigned to this individual provider in the NPPES registry on May 20, 2008.

Q: What is Jack Miller's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Jack Miller was last updated on September 2, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 20, 2008

2078 NE PROFESSIONAL CT, BEND, OR 97701(541) 382-2281 Get Directions Write a Review

NPPES record last updated: September 2, 2008. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Jack Randolph Miller Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACK RANDOLPH MILLER DMD (NPI 1073770764) is an individual general practice provider in Bend, Oregon, licensed in Oregon (D7074) and active in the NPI registry since May 2008.

NPPES Registry Identity

NPI1073770764

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameJACK RANDOLPH MILLERCredential: DMD

Location Address2078 NE PROFESSIONAL CTBend, OR 97701-6077

Mailing Address2078 Ne Professional CtBend, OR 97701-6077 · (541) 382-2281

Phone(541) 382-2281

Sole ProprietorNo

Enumeration DateMay 20, 2008

Last NPPES UpdateSeptember 2, 2008

✔ NPI 1073770764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in OR · D7074

Definition

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.

2078 NE PROFESSIONAL CT, Bend, OR 97701

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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. BRANDEN ROBERT FERGUSON

Dentist

2078 NE PROFESSIONAL CT
BEND, OR 97701

Deschutes County (541) 382-2281

FERGUSON BYBEE DENTAL LLC

Dentist

2078 NE PROFESSIONAL CT
BEND, OR 97701

Deschutes County (541) 382-2281

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Miller's NPI number?

The NPI number for Jack Miller is 1073770764. It was assigned to this individual provider in the NPPES registry on May 20, 2008.

Where is Jack Miller located?

Jack Miller practices at 2078 NE Professional Ct, Bend, OR 97701. The listed phone number is (541) 382-2281.

What is Jack Miller's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Jack Miller was last updated on September 2, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.