Provider Profile

Matthew Ticich, DMD

Unclaimed Profile

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.

Summarised automatically from public NPI registry and CMS Medicare data. Not written or reviewed by this provider. Claim this profile to replace it.

Specialty

Endodontics (Primary)
Dentist (Additional)
Endodontics (Additional)
General Practice Dentistry (Additional)

Credentials & Licensing

CA license62475
CO licenseDEN.00203425
TN license11869
TX license31790
NPI1407297484
NPI issued07/08/2013

License numbers are what the provider reported to NPPES when the NPI was issued or updated. NPPES does not verify licensure; confirm current standing with the state licensing board.

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. Guide.md cannot book appointments or pass on messages — please call the office directly.

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.

Guide.md

Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.