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

Thomas Randal Hicks, DMD

Individual provider General Practice Dentistry · NPI 1922168335

Thomas Randal Hicks, DMD is a General Practice Dentistry in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2006
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

13305 NW Cornell Rd Ste A
Portland, OR 97229-5987
Phone: (503) 644-5433
Fax: (503) 644-5436
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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 D7362 (OR)

Record details

NPI number1922168335
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedDecember 8, 2006
Last updated in NPPESFebruary 4, 2023
Certification dateFebruary 4, 2023

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