MATTHEW TICICH, DMD

Endodontics · FORT CAMPBELL, KY

Individual Active NPI 1407297484

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Endodontics1223E0200X62475CA
Endodontics1223E0200X11869TN
Dentist122300000XDEN.00203425CO
General Practice Dentistry1223G0001X31790TX

Medicare eligibility

Part B
Yes
DME
Yes
Home health
Yes
Power mobility
No
Hospice
Yes

Other Endodontics providers in Kentucky

See all Endodontics providers in Kentucky

Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.