Individual provider · Type 1 NPI

Matthew Robert Hicks, DMD

General Practice Dentistry · Portland, OR

NPI number 1982601142 Active

About NPI 1982601142

Matthew Robert Hicks, DMD's National Provider Identifier is 1982601142, issued on Jul 2, 2005. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Portland, OR. The record was last updated on Jul 8, 2007.