DR. Matthew E Ticich, DMD
NPI #1407297484 in Fort Campbell, Kentucky
Provider Information
- NPI Number
- 1407297484
- Entity Type
- Individual
- Name
- DR. Matthew E Ticich, DMD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - Endodontics
- Credential
- DMD
- Enumeration Date
- Jul 8, 2013
- Last Updated
- Mar 24, 2023
Practice Location
- Address
- 6145 DESERT STORM AVE
- City
- Fort Campbell
- State
- Kentucky
- ZIP Code
- 42223-5558
- Phone
- (951) 529-2070
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
| Dentist - General Practice — General Practice |
| Dentist - Endodontics — Endodontics |
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