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Provider Profile

Matthew Ticich, DMD

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At a glance

About Dr. Ticich

Based in Fort Campbell, KY, Matthew Ticich, DMD is listed in the NPI registry under endodontics. Matthew is also listed as specializing in dentist and general practice dentistry. NPI 1407297484 identifies this record in the national registry.

Factual summary compiled by Guide.md from public records; not written by this provider.

Specialty

Endodontics (Primary)

Credentials & Licensing

CA licenceAs reported to the NPI registry
No. 112743As reported
CO licenceAs reported to the NPI registry
No. DEN.00203425As reported
TN licenceAs reported to the NPI registry
No. 11869As reported
TX licenceAs reported to the NPI registry
No. 31790As reported
NPINational Provider Identifier
1407297484Issued 2013

As reported to the NPI registry ↗

Medicare information

Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What does Dr. Ticich specialize in?

Dr. Ticich is an endodontics in Fort Campbell, KY. That is the designation recorded for this NPI in the federal registry.

NPI registry

Where is Dr. Ticich located?

Dr. Ticich is listed at 6145 Desert Storm Ave, Fort Campbell, KY 42223. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

What is Dr. Ticich's phone number?

The number on file is (951) 529-2070. Contact the office directly to confirm availability and scheduling.

NPI registry

What is Dr. Ticich's NPI number?

Dr. Ticich's National Provider Identifier is 1407297484. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

How long has Dr. Ticich been practicing?

Dr. Ticich has 13+ years experience. Registered with an NPI since 2013. National Provider Identifiers only began in 2005, so a provider who qualified earlier may have practiced for longer than this.

NPI registry

Has Dr. Ticich confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Dr. Ticich. If this is you, claiming it is free.

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