Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MATTHEW PAUL TICOLA, DMD
Active Sole ProprietorDR. MATTHEW PAUL TICOLA, DMD is a Pediatric Dentistry healthcare provider located in GUNTERSVILLE, Alabama. NPI 1346387644 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · GUNTERSVILLE, AL
Registration Details
- NPI Number
- 1346387644
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 30, 2007 (19.577676694916 yrs)
- Last Updated
- Mar 17, 2018
- Licenses
-
DN16460 (FL)D.0005747 (AL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
11521 US HIGHWAY 431 STE VGUNTERSVILLE, AL, 359765671Browse AL providers · Browse ZIP 35976
- Phone
- 2565058954
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
- Additional Specialty
- Pediatric Dentistry
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.