Roger Donald Dimick, DMD in Tigard, OR - Medicare Dentist Provider

Roger Donald Dimick, DMD is a medicare enrolled "Dentist - General Practice" provider in Tigard, Oregon. His current practice location is 11565 Sw Hall Blvd Ste C, Tigard, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 670-7088.

Roger Donald Dimick is licensed to practice in Oregon (license number 4319) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1609955772.

Contact Information

	Roger Donald Dimick, DMD
	11565 Sw Hall Blvd Ste C, Tigard, OR 97223-8493
	(503) 670-7088
	(503) 443-1448

Map and Direction

Healthcare Provider's Profile

Full Name	Roger Donald Dimick
Gender	Male
Speciality	Dentist - General Practice
Location	11565 Sw Hall Blvd Ste C, Tigard, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1609955772
Provider Enumeration Date: 11/02/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 9638170798
Enrollment ID: I20160513002060

Medical Identifiers

Medical identifiers for Roger Donald Dimick such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609955772	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	4319 (Oregon)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Roger Donald Dimick is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Roger Donald Dimick, DMD 5060 Greensborough Ct, Lake Oswego, OR 97035-8748 Ph: (503) 670-7088	Roger Donald Dimick, DMD 11565 Sw Hall Blvd Ste C, Tigard, OR 97223-8493 Ph: (503) 670-7088

Reviews and Comments

Dentist in Tigard, OR

Dr. Dean Roy Gretzinger, DDS Dentist Medicare: Medicare Enrolled Practice Location: 7095 Sw Gonzaga St, Tigard, OR 97223 Phone: 855-433-6825
Elizabeth My Anh Phan, DMD Dentist Medicare: Medicare Enrolled Practice Location: 9900 Sw Greenburg Rd Ste 240, Tigard, OR 97223 Phone: 971-206-7133 Fax: 541-516-4047
Dr. Shahin Rashidi, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 9225 Sw Hall Blvd, Suite E, Tigard, OR 97223 Phone: 503-620-7134 Fax: 503-620-7184
Dr. Richard Whipple, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 11525 Sw Durham Rd, Tigard, OR 97224 Phone: 503-620-6133 Fax: 503-620-1275
Dr. Ryan J Leclaire, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 7105 Sw Hampton St, Tigard, OR 97223 Phone: 503-286-6868
Ms. Parisa Sepehri, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 8930 Sw Hall Blvd., Ste 1, Tigard, OR 97223 Phone: 503-574-4000 Fax: 503-626-6300
Christopher R Sierk, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 11565 Sw Hall Blvd, Tigard, OR 97223 Phone: 503-620-6606 Fax: 503-624-6382

Roger Donald Dimick, DMD - Medicare Dentist in Tigard, OR