Thomas Randal Hicks, DMD - Portland, OR

Thomas Randal Hicks, DMD

General Practice Dentistry in Portland, Oregon

NPI 1922168335

Thomas Randal Hicks is a General Practice Dentistry based in Portland, OR and is specialized in General Practice. Thomas Randal Hicks practices in Portland, OR and has the professional credentials of DMD. The NPI Number for Thomas Randal Hicks is 1922168335 and holds a License No. D7362 (Oregon).

The current practice location address for Thomas Randal Hicks is 13305 Nw Cornell Rd Ste A, Portland, OR and can be reached out via phone at 503-644-5433 and via fax at 503-644-5436.

Location: 13305 Nw Cornell Rd Ste A, Portland, OR, 97229-5987

NPI Number

1922168335

Provider Name

Thomas Randal Hicks

Credential

DMD

Provider Entity Type

Individual

Gender

Male

Address

13305 Nw Cornell Rd Ste A, Portland, OR, 97229-5987

Phone Number

503-644-5433

Fax Number

503-644-5436

Provider Enumeration Date

12/08/2006

Last Update Date

03/08/2024

Identifier	Type	State	Issuer
1922168335	05	OR

Address

13305 Nw Cornell Rd Ste A

City

Portland

State

Oregon

Zip

97229-5987

Phone Number

503-644-5433

Fax Number

503-644-5436

Address

13305 Nw Cornell Rd Ste A

City

Portland

State

Oregon

Zip

97229-5987

Phone Number

503-644-5433

Fax Number

503-644-5436

Type

Dental Providers

Classification

Dentist

Speciality

General Practice

Taxonomy

1223G0001X

License No.

D7362 (Oregon)

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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