Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Ian Robert Dickinson, DMD

Individual provider General Practice Dentistry · NPI 1699308130

Dr. Ian Robert Dickinson, DMD is a General Practice Dentistry in Portland, Oregon. Practices as a sole proprietor. Licensed in California and Oregon.

Licensed in
CA, OR
In the registry since
2020
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

12750 SE Stark St Bldg E
Portland, OR 97233-1539
Phone: (971) 347-3009
Fax: (971) 256-3277
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence D11412 (OR)
General Practice Dentistry Taxonomy 1223G0001X · Licence DDS104720 (CA)

Record details

NPI number1699308130
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedFebruary 12, 2020
Last updated in NPPESDecember 13, 2022
Certification dateDecember 13, 2022
Mailing address805 Se 74th Ave, Portland, OR 97215-2232

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