Individual provider · Type 1 NPI

Ian Robert Dickinson, DMD

General Practice Dentistry · Portland, OR

NPI number 1699308130 Active

Practice location

12750 SE Stark St Bldg E
Portland, OR 97233-1539

Call (971) 347-3009 Map

Fax (971) 256-3277

Mailing address

805 SE 74th Ave
Portland, OR 97215-2232

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry 1223G0001XDDS104720 (CA)
General Practice Dentistry Primary 1223G0001XD11412 (OR)

General Practice Dentistry: 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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About NPI 1699308130

Ian Robert Dickinson, DMD's National Provider Identifier is 1699308130, issued on Feb 12, 2020. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Portland, OR. The record was last updated on Dec 13, 2022.