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

Dr. Kelley Ray Mingus, DMD

Individual provider Dentist · NPI 1447259262

Dr. Kelley Ray Mingus, DMD is a Dentist in Bend, Oregon. Practices as a sole proprietor and works from 2 locations. Licensed in Oregon.

Licensed in
OR
In the registry since
2005
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

225 Scalehouse Loop Ste 101
Bend, OR 97702-1241
Phone: (541) 382-6565
Fax: (541) 382-6776
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 711 Ponderosa Vlg, Burns, OR 97720-2315 — (541) 589-4202

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence D7191 (OR)
Dentist Taxonomy 122300000X · Licence D7191 (OR)

Record details

NPI number1447259262
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedJuly 14, 2005
Last updated in NPPESJanuary 13, 2025
Certification dateJanuary 13, 2025
Mailing address225 Scalehouse Loop Ste 101, Bend, OR 97702-1241

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