Provider Demographics
NPI:1114060480
Name:SCHEER, BRICK R (DMD)
Entity Type:Individual
Prefix:DR
First Name:BRICK
Middle Name:R
Last Name:SCHEER
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7707 E 29TH ST N
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67226-3403
Mailing Address - Country:US
Mailing Address - Phone:316-636-1222
Mailing Address - Fax:316-636-1268
Practice Address - Street 1:7707 E 29TH ST N
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67226-3403
Practice Address - Country:US
Practice Address - Phone:316-636-1222
Practice Address - Fax:316-636-1268
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS59131223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice