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

Jack Randolph Miller, DMD

Individual provider General Practice Dentistry · NPI 1073770764

Jack Randolph Miller, DMD is a General Practice Dentistry in Bend, Oregon. Licensed in Oregon. Registered with an NPI since 2008.

Licensed in
OR
In the registry since
2008
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

2078 NE Professional Ct
Bend, OR 97701-6077
Phone: (541) 382-2281
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence D7074 (OR)

Record details

NPI number1073770764
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedMay 20, 2008
Last updated in NPPESSeptember 2, 2008
Mailing address2078 Ne Professional Ct, Bend, OR 97701-6077

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