Thomas Randal Hicks, DMD is a general practice dentist in Portland, OR. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. Thomas Randal Hicks, DMD NPI is 1922168335. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
13305 NW CORNELL RD STE A
PORTLAND, OR
ZIP 97229-987
Phone: (503) 644-5433
Fax: (503) 644-5436
The NPI 1922168335 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 12/8/2006 and was last updated on 2/4/2023.