Matthew R Hicks Dmd PC

NPI #1750146874 in Portland, Oregon

Provider Information

NPI Number: 1750146874
Entity Type: Organization
Organization Name: Matthew R Hicks Dmd PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Feb 19, 2024
Last Updated: Feb 19, 2024

Practice Location

Address: 6200 SE MILWAUKIE AVE
City: Portland
State: Oregon
ZIP Code: 97202-5417
Phone: (971) 645-8277

Authorized Official

Name: DR. MATTHEW HICKS, DMD
Title: DENTIST
Phone: (971) 645-8277

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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