Roger Donald Dimick, DMD

General Practice Dentistry · Tigard, OR

Individual Active NPI

NPI number 1609955772

Practice location

11565 SW Hall Blvd Ste C
Tigard, OR 97223-8493
Phone
(503) 670-7088
Fax
(503) 443-1448

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NPI record

NPI
1609955772
Entity type
Individual (Type 1)
Enumeration date
November 2, 2006
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 4319 OR

Mailing address

5060 Greensborough Ct
Lake Oswego, OR 97035-8748
Phone
(503) 670-7088
Fax
(503) 443-1448

About Dr. Dimick

Roger Donald Dimick, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 11565 SW Hall Blvd Ste C, Tigard, OR 97223-8493. The NPI number 1609955772 was assigned on November 2, 2006 and the record was last updated on July 8, 2007.

Dr. Dimick lists a license in the registry: #4319 (OR) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Roger Donald Dimick, DMD?

The NPI number is 1609955772.

What is the phone number of Dr. Dimick?

The phone number listed for the practice location is (503) 670-7088.

Where is Dr. Dimick located?

11565 SW Hall Blvd Ste C, Tigard, OR 97223-8493.

What is the taxonomy code for Dr. Dimick?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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