Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ROGER DONALD DIMICK, DMD
Active Sole ProprietorROGER DONALD DIMICK, DMD is a General Dentistry healthcare provider located in TIGARD, Oregon. NPI 1609955772 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · TIGARD, OR
Registration Details
- NPI Number
- 1609955772
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 2, 2006 (19.757423958439 yrs)
- Last Updated
- Jul 8, 2007
- License
-
4319 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
11565 SW HALL BLVD STE CTIGARD, OR, 972238493Browse OR providers · Browse ZIP 97223
- Phone
- 5036707088
- Fax
- 5034431448
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in TIGARD, OR
| Name | Credential | NPI |
|---|---|---|
| DR. CHRISTOPHER ROBERT GRENZER | D.M.D. | 1467459164 |
| DR. JOHN B MCCROSKEY | DDS | 1821096058 |
| MS. PARISA SEPEHRI | D.D.S. | 1093714552 |
| DR. VIVIAN LAM | D.M.D | 1891744553 |
| DR. DAVID LAWRENCE WILSON | D.M.D. | 1689614331 |
| DR. RICHARD WHIPPLE | D.D.S. | 1073556791 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.