MEDICARE: DR. THOMAS F. BRICKEY D.M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	263619	UT

General Provider Information

NPI Number	:	1184623480
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. THOMAS F. BRICKEY D.M.D.

Provider Business Mailing Address
First Line	:	3191 VALLEY ST
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84109-4200
Country	:	US
Telephone Number	:	801-463-6657
Fax Number	:	801-463-0552

Provider Business Practice Location Address
First Line	:	3191 VALLEY ST
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84109-4274
Country	:	US
Telephone Number	:	801-463-6657
Fax Number	:	801-463-0552

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/19/2005
Last Update Date	:	07/08/2007

Similar Medicare Providers

1144287632 — MS. TAMAR A PRERO LCSW
Practice Location Address:

3191 VALLEY ST , SUITE 210
SALT LAKE CITY, UT
84109-4274

Practice Phone: 801-403-3357
Practice Fax: 801-585-2818

1982939856 — TAMBER LAYNE SNARR LCSW
Practice Location Address:

3191 S 3300 E , SUITE 230
SALT LAKE CITY, UT
84109-4274

Practice Phone: 801-637-3437
Practice Fax:

1912311879 — DR. LAURA PROVINE DMD
Practice Location Address:

3191 S VALLEY ST
SALT LAKE CITY, UT
84109-4274

Practice Phone: 801-463-6657
Practice Fax:

1639224934 — NANCE LEE ALLEN MPH, MS, APRN
Practice Location Address:

3191 VALLEY ST , STE #210
SLC, UT
84109-4274

Practice Phone: 801-487-2889
Practice Fax: 801-487-0859

1184027377 — MS. ALGEM COLEMAN
Practice Location Address:

277 N. HIGHWAY 74 , SUITE 306
PEACHTREE CITY, GA
30213-4274

Practice Phone: 678-383-1210
Practice Fax:

1174746226 — DR WAYNE A MORS ORTHODONTIST PC
Practice Location Address:

4306 G W CRYSTAL LAKE ROAD
MCHENRY, IL
60050-4274

Practice Phone: 815-344-4900
Practice Fax: 815-344-4907

Directions to “ DR. THOMAS F. BRICKEY D.M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.