ROGER DONALD DIMICK DMD
NPI 1609955772
Dentist - General Practice in Tigard, OR

Q: What is Roger Dimick's NPI number?

The NPI number for Roger Dimick is 1609955772. It was assigned to this individual provider in the NPPES registry on November 2, 2006.

Q: What is Roger Dimick's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Roger Dimick was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 02, 2006

11565 SW HALL BLVD STE C, TIGARD, OR 97223(503) 670-7088(503) 443-1448 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Roger Donald Dimick Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROGER DONALD DIMICK DMD (NPI 1609955772) is an individual general practice provider in Tigard, Oregon, licensed in Oregon (4319) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1609955772

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameROGER DONALD DIMICKCredential: DMD

Location Address11565 SW HALL BLVD STE CTigard, OR 97223-8493

Mailing Address5060 Greensborough CtLake Oswego, OR 97035-8748 · (503) 670-7088 · Fax (503) 443-1448

Phone(503) 670-7088

Fax(503) 443-1448

Sole ProprietorYes

Enumeration DateNovember 2, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1609955772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in OR · 4319

Definition

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.

11565 SW HALL BLVD STE C, Tigard, OR 97223

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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KIHYON SOHN

Acupuncturist

11565 SW HALL BLVD STE C
TIGARD, OR 97223

Washington County (503) 381-2600

DR THOMPSON TIGARE TENDERCARE

Dentist (General Practice)

11565 SW HALL BLVD STE C
TIGARD, OR 97223

Washington County (503) 670-7088

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Roger Dimick's NPI number?

The NPI number for Roger Dimick is 1609955772. It was assigned to this individual provider in the NPPES registry on November 2, 2006.

Where is Roger Dimick located?

Roger Dimick practices at 11565 SW Hall Blvd Ste C, Tigard, OR 97223. The listed phone number is (503) 670-7088.

What is Roger Dimick's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Roger Dimick was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.