Organization
THOMAS R DICKSON, DDS., PC
Active
Other names
Creekstone Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS R DICKSON DDS (PRESIDENT/DENTIST)
(801) 567-0343
Entity
Organization
Contact information
Practice address
714 E FORT UNION BLVD, MIDVALE, UT 84047-2347
(801) 567-0343
(801) 566-5725
Mailing address
714 E FORT UNION BLVD, MIDVALE, UT 84047-2347
(801) 567-0343
(801) 566-5725
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
264648
UT
Other
Enumeration date
03/24/2015
Last updated
03/24/2015
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