| Dr Ian Robert Dickinson, DMD | |
|
12750 Se Stark St Bldg E, Portland, OR 97233-1539 | |
| (971) 347-3009 | |
| (971) 256-3277 |
| Full Name | Dr Ian Robert Dickinson |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 12750 Se Stark St Bldg E, Portland, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699308130 | NPI | - | NPPES |
| D-5100 | Other | ID | IDAHO DENTAL LICENSE |
| DDS104720 | Other | CA | CALIFORNIA DENTAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DDS104720 (California) | Secondary |
| 1223G0001X | Dentist - General Practice | D11412 (Oregon) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ian Robert Dickinson, DMD 805 Se 74th Ave, Portland, OR 97215-2232 Ph: (707) 280-1901 | Dr Ian Robert Dickinson, DMD 12750 Se Stark St Bldg E, Portland, OR 97233-1539 Ph: (971) 347-3009 |
Esther Jihae Lee, Dentist Medicare: Not Enrolled in Medicare Practice Location: 5308 Se 52nd Ave, Portland, OR 97206 Phone: 503-775-4000 | |
Dr. Elizabeth Freda Schuler, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 202 Ne 181st Ave Ste C, Portland, OR 97230 Phone: 503-912-0443 | |
Dr. Octavia S Lively, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3710 Sw Us Vetrn Hosp Rd, Portland, OR 97239 Phone: 503-220-8262 | |
Michelle R Lawrence, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 3671 Sw River Pkwy, Portland, OR 97239 Phone: 503-841-5658 Fax: 503-384-2953 | |
Albert Vinh Khiem Ngo, Dentist Medicare: Medicare Enrolled Practice Location: 4104 Se 82nd Ave Ste 450, Portland, OR 97266 Phone: 562-852-3113 | |
Dr. Esha Mukherjee, MSD Dentist Medicare: Not Enrolled in Medicare Practice Location: 2730 S Moody Ave, Portland, OR 97201 Phone: 502-531-3763 | |
Dr. Larry Robert Franz, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 12135 Se Foster Rd, Portland, OR 97266 Phone: 503-760-7610 Fax: 503-760-7896 |