person
Dr. Ian Robert Dickinson, DMD
General Practice Dentistry in Portland, Oregon
NPI 1699308130

Ian Robert Dickinson is a General Practice Dentistry based in Portland, OR and is specialized in General Practice. Ian Robert Dickinson practices in Portland, OR and has the professional credentials of DMD. The NPI Number for Ian Robert Dickinson is 1699308130 and holds a License No. DDS104720 (Oregon).

The current practice location address for Ian Robert Dickinson is 12750 Se Stark St Bldg E, Portland, OR and can be reached out via phone at 971-347-3009 and via fax at 971-256-3277.

Location: 12750 Se Stark St Bldg E, Portland, OR, 97215-2232
person
Provider Profile Details
NPI Number
1699308130
Provider Name
Ian Robert Dickinson
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
12750 Se Stark St Bldg E, Portland, OR, 97215-2232
Phone Number
971-347-3009
Fax Number
971-256-3277
Provider Enumeration Date
02/12/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
D-5100 01 ID IDAHO DENTAL LICENSE
DDS104720 01 CA CALIFORNIA DENTAL LICENSE
institution
Provider Business Practice Location Address Details
Address
12750 Se Stark St Bldg E
City
State
Zip
97233-1539
Phone Number
971-347-3009
Fax Number
971-256-3277
person
Provider Business Mailing Address Details
Address
12750 Se Stark St Bldg E
City
State
Zip
97233-1539
Phone Number
971-347-3009
Fax Number
971-256-3277
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
License No.
DDS104720 (California)
Definition
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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