- Practice location
- 11565 SW Hall Blvd Ste C, Tigard, OR 97223-8493
- Phone
- 503-670-7088
- Fax
- 503-443-1448
- Last updated
- July 8, 2007
Roger Donald Dimick is a Dentist, General Practice based in Tigard, OR. Roger Donald Dimick practices in Tigard, OR and has the professional credentials of DMD. The NPI Number for Roger Donald Dimick is 1609955772 and holds a License No. 4319 (OR). The current practice location address for Roger Donald Dimick is 11565 SW Hall Blvd Ste C, Tigard, OR 97223-8493 and can be reached out via phone at 503-670-7088 and via fax at 503-443-1448.
Provider Profile Details
- NPI Number
- 1609955772
- Provider Name
- Roger Donald Dimick
- Credential
- DMD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 11565 SW Hall Blvd Ste C, Tigard, OR 97223-8493
- Phone Number
- 503-670-7088
- Fax Number
- 503-443-1448
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- November 2, 2006
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 11565 SW Hall Blvd Ste C
Tigard, OR 97223-8493 - City
- Tigard
- State
- Oregon
- Zip
- 97223-8493
- Phone Number
- 503-670-7088
- Fax Number
- 503-443-1448
Provider Business Mailing Address Details
- Address
- 5060 Greensborough CT
Lake Oswego, OR 97035-8748 - City
- Lake Oswego
- State
- OR
- Zip
- 97035-8748
- Phone Number
- 503-670-7088
- Fax Number
- 503-443-1448
License Information
- License Number
- 4319
- License State
- OR
- Taxonomy
- Dentist, General Practice · 1223G0001X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentist, General Practice providers near Tigard, OR
View all Dentist, General Practice providers in Tigard →- Bruno Da Costa Ddd,ms,pcDentist, General Practice · NPI 1780851105
- Canterbury Dental, LLCDentist, General Practice · NPI 1821104407
- David L. Wilson, DMD, PCDentist, General Practice · NPI 1740486604
- Dr Thompson Tigare TendercareDentist, General Practice · NPI 1538274261
- Dr. Ahmed M Elamin, DMDDentist, General Practice · NPI 1366284895
- Dr. Greg G Bowers, DMDDentist, General Practice · NPI 1124040183
Frequently Asked Questions
What is the NPI number of Roger D Dimick, DMD?
The NPI number of Roger D Dimick, DMD is 1609955772. It was assigned on November 2, 2006 and is currently active in the NPPES registry.
What is the specialty of Roger D Dimick, DMD?
Roger D Dimick, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in OR under license number 4319.
Where does Roger D Dimick, DMD practice?
The practice location is 11565 SW Hall Blvd Ste C, Tigard, OR 97223-8493. The office can be reached at 503-670-7088 (phone) or 503-443-1448 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1609955772 directly on the NPPES registry website.