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 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.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
09 March, 2026.