Dr. Ian Robert Dickinson is a Portland, Oregon based Dentist who is specialized in General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Ian Robert Dickinson is D11412 for General Practice Dentistry in Oregon. His current practice location is 12750 Se Stark St Bldg E, Portland. Patients can reach him at 971-347-3009.
Dr. Ian Robert Dickinson is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Ian Robert Dickinson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Dr. Ian Robert Dickinson
Specialization:
Dentist
Gender:
Male
Credentials:
DMD
Accepts Medicare Assignment:
No
Practice Address:
12750 Se Stark St Bldg E, Portland, Oregon, 97233-1539
Phone:
971-347-3009
Fax:
971-256-3277
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1699308130
NPI Enumeration Date:
12 Feb, 2020
NPI Last Update On:
13 Dec, 2022
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Ian Robert Dickinson are as mentioned below.
License Number
Specialization
State
Status
D11412
General Practice Dentistry
Oregon
Primary
DDS104720
General Practice Dentistry
California
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Ian Robert Dickinson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
D-5100
Other
Idaho
IDAHO DENTAL LICENSE
DDS104720
Other
California
CALIFORNIA DENTAL LICENSE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
805 Se 74th Ave, Portland, Oregon
Zip:
97215-2232
Phone Number:
707-280-1901
Patients can reach Dr. Ian Robert Dickinson at 12750 Se Stark St Bldg E, Portland, Oregon or can call to book an appointment on 971-347-3009. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.