Individual provider · Type 1 NPI

Jack Randolph Miller, DMD

General Practice Dentistry · Bend, OR

NPI number 1073770764 Active

Practice location

2078 NE Professional Ct
Bend, OR 97701-6077

Call (541) 382-2281 Map

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XD7074 (OR)

General Practice Dentistry: 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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About NPI 1073770764

Jack Randolph Miller, DMD's National Provider Identifier is 1073770764, issued on May 20, 2008. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Bend, OR. The record was last updated on Sep 2, 2008.