Eric J Dierks in Portland - Oral & Maxillofacial Surgery
Eric J Dierks - NPI 1265432025
Eric J Dierks is a Oral & Maxillofacial Surgery in Portland, Oregon. Eric J Dierks practices all healthcare services and medical treatments related to Oral & Maxillofacial Surgery. The NPI Number for Eric J Dierks is 1265432025. The last update date is 2018-06-11.
Eric J Dierks's current location address is 1849 Nw Kearney St, Portland, Oregon. You can contact this provider via phone number 5032241371 and fax number 5032240722. The mailing address for Eric J Dierks is 1849 Nw Kearney St, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Eric J Dierks |
|---|---|
| Address | 1849 Nw Kearney St, Portland, Oregon |
| Phone Number | 5032241371 |
| Fax Number | 5032240722 |
| Sole Proprietor | N |
| Credentials | MD, DMD |
NPI Number Detail
| NPI Number | 1265432025 |
|---|---|
| Provider Enumeration Date | 2005-07-22 |
| Last Updated Date | 2018-06-11 |
Provider Mailing Address Detail
| Address | 1849 Nw Kearney St |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972091453 |
| Phone Number | 5032241371 |
| Fax Number | 5032240722 |
Provider's Primary Taxonomy Detail
| Speciality | Oral & Maxillofacial Surgery |
|---|---|
| Taxonomy | 204E00000X |
| Licence No | D6708 |
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Definition: Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8560 | OR | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Eric J Dierks?
The Eric J Dierks has been issued the NPI (National Provider Identifier) 1265432025 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Eric J Dierks is physically located?
The Eric J Dierks is physically situated at the following address: 1849 Nw Kearney St, Portland, OR, 972091453.
What is Eric J Dierks's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Eric J Dierks is Oral & Maxillofacial Surgery, and the corresponding taxonomy classification code for this specialized field is 204E00000X.
When did Eric J Dierks receive its 1265432025 assignment?
The Eric J Dierks was assigned its 1265432025 on 2005-07-22, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Eric J Dierks most recently updated or revised?
The information pertaining to Eric J Dierks, including its address, specialty, and other relevant details, was last updated or revised on 2018-06-11.
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