Michael William Tichy, D.M.D.

NPI #1598908428 in Derby, Connecticut

Provider Information

NPI Number: 1598908428
Entity Type: Individual
Name: Michael William Tichy, D.M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: D.M.D.
Enumeration Date: Apr 8, 2009
Last Updated: Apr 10, 2009

Practice Location

Address: 435 NEW HAVEN AVE
City: Derby
State: Connecticut
ZIP Code: 06418-2534
Phone: (203) 735-7500

Specialties & Taxonomy Codes

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

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