Thomas R Dickson, Dds., PC

NPI #1588058960 in Midvale, Utah

Provider Information

NPI Number: 1588058960
Entity Type: Organization
Organization Name: Thomas R Dickson, Dds., PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 24, 2015
Last Updated: Mar 24, 2015

Practice Location

Address: 714 E FORT UNION BLVD
City: Midvale
State: Utah
ZIP Code: 84047-2347
Phone: (801) 567-0343

Authorized Official

Name: DR. THOMAS R DICKSON, DDS
Title: PRESIDENT/DENTIST
Phone: (801) 567-0343

Specialties & Taxonomy Codes

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

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