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JACK BENJAMIN DUNHAM JR. DMD
NPI 1669709812
Dentist in Eugene, OR

Active since November 09, 2009
4000 E 30TH AVE, EUGENE, OR 97405(541) 463-3000 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jack Benjamin Dunham Jr. Dmd NPPES

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

JACK BENJAMIN DUNHAM JR. DMD (NPI 1669709812) is an individual dentist in Eugene, Oregon, licensed in Oregon (D4322) and active in the NPI registry since November 2009.

NPPES Registry Identity

NPI1669709812
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameJACK BENJAMIN DUNHAM JR.Credential: DMD
Location Address4000 E 30TH AVEEugene, OR 97405-0640
Mailing Address1640 G StSpringfield, OR 97477-4226 · (541) 682-3550 · Fax (541) 682-3551
Phone(541) 463-3000
Sole ProprietorYes
Enumeration DateNovember 9, 2009
Last NPPES UpdateMarch 7, 2023
✔ NPI 1669709812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in OR · D4322
Definition
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.
4000 E 30TH AVE, Eugene, OR 97405
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Other Identifiers 1

Other4322OR · State License - Dentist

Other Providers at the Same Location NPPES 6

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

MS. VICKI JOHNSTONE-DODGE RDH
Dental Hygienist
4000 E 30TH AVE
EUGENE, OR 97405
Lane County (541) 817-2901
HARRY ERNEST VANDERVORT III FNP
Nurse Practitioner (Family)
4000 E 30TH AVE
EUGENE, OR 97405
Lane County (541) 463-5665
LAURA KRISTIN GREENE CNP
Nurse Practitioner (Family)
4000 E 30TH AVE
EUGENE, OR 97405
Lane County (541) 463-5665
AMY KAPPELER
Counselor (Mental Health)
4000 E 30TH AVE
EUGENE, OR 97405
Lane County (541) 463-5665
LANE COMMUNITY COLLEGE
Clinic/Center (Dental)
4000 E 30TH AVE
EUGENE, OR 97405
Lane County (541) 463-3000
LANE COMMUNITY COLLEGE HEALTH CLINIC
Clinic/Center (Student Health)
4000 E 30TH AVE
EUGENE, OR 97405
Lane County (541) 463-5665

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 Dunham's NPI number?

The NPI number for Jack Dunham is 1669709812. It was assigned to this individual provider in the NPPES registry on November 9, 2009.

Where is Jack Dunham located?

Jack Dunham practices at 4000 E 30th Ave, Eugene, OR 97405. The listed phone number is (541) 463-3000.

What is Jack Dunham's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Jack Dunham was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.