Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Derek Miller, DDS

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1205366002

Dr. Derek Miller, DDS is an Oral Surgery in Minneapolis, Minnesota. Qualified in 2017, 9 years ago. Practices with Face and Jaw Surgeons PC, a 7-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
9
Licensed in
MN
In the registry since
2017
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

7-174 Moos Tower 515 Delaware St S U Of M Oral Surgery
Minneapolis, MN 55455
Phone: (701) 306-4741
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence R674 (MN)

Record details

NPI number1205366002
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJune 14, 2017
Last updated in NPPESJune 14, 2017
Mailing address1342 Territory Dr, Bismarck, ND 58503-0168

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORAL SURGERY
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Face And Jaw Surgeons Pc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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