JACK RANDOLPH MILLER DMD
NPI 1073770764
Dentist - General Practice in Bend, OR
- Individual
- Male
- Dentist
- General Practice
About JACK MILLER
This page provides the complete NPI Profile along with additional information for Jack Miller, a provider established in Bend, Oregon with a medical specialization in Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1073770764 assigned on May 2008. The practitioner's primary taxonomy code is 1223G0001X with license number D7074 (OR). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1073770764 Verify this NPI
- Provider Name
- JACK RANDOLPH MILLER DMD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2078 NE PROFESSIONAL CT BEND, OR 97701
- Location Phone
- (541) 382-2281
- Mailing Address
- 2078 NE PROFESSIONAL CT BEND, OR 97701
- Mailing Phone
- (541) 382-2281
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-20-2008
- Last Update Date
- 09-02-2008
- Code Navigator
A dentist like Jack Miller is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dentist General Practice
- Taxonomy Code
- 1223G0001X
- Type
- Dental Providers
- License No.
- D7074
- License State
- OR
- Taxonomy Description
- 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.
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Other Providers at the Same Location
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1073770764, enumerated as an "individual" on May 20, 2008.
The provider is located at 2078 NE PROFESSIONAL CT BEND, OR 97701 and the phone number is (541) 382-2281.
Dentist with taxonomy code 1223G0001X and a focus in General Practice.
