Thomas Randal Hicks 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 Thomas Randal Hicks is D7362 for General Practice Dentistry in Oregon. His current practice location is 13305 Nw Cornell Rd Ste A, Portland. Patients can reach him at 503-644-5433.
Thomas Randal Hicks 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:
Thomas Randal Hicks 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:
Thomas Randal Hicks
Specialization:
Dentist
Gender:
Male
Credentials:
DMD
Accepts Medicare Assignment:
No
Practice Address:
13305 Nw Cornell Rd Ste A, Portland, Oregon, 97229-5987
Phone:
503-644-5433
Fax:
503-644-5436
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:
1922168335
NPI Enumeration Date:
08 Dec, 2006
NPI Last Update On:
04 Feb, 2023
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Thomas Randal Hicks are as mentioned below.
License Number
Specialization
State
Status
D7362
General Practice Dentistry
Oregon
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Thomas Randal Hicks such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
1922168335
Medicaid
Oregon
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
13305 Nw Cornell Rd Ste A, Portland, Oregon
Zip:
97229-5987
Phone Number:
503-644-5433
Fax Number:
503-644-5436
Patients can reach Thomas Randal Hicks at 13305 Nw Cornell Rd Ste A, Portland, Oregon or can call to book an appointment on 503-644-5433. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.