DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

WALTER F. TICKNER, DDS

Active Sole Proprietor

WALTER F. TICKNER, DDS is a Dentist healthcare provider located in SAN LEANDRO, California. NPI 1962516211 is currently active in the NPPES registry. Verify at CMS.

Dentist · SAN LEANDRO, CA

Registration Details

NPI Number
1962516211
Provider Type
Individual
Gender
Male
NPI Issued
Aug 17, 2006 (19.982110133238 yrs)
Last Updated
Jan 5, 2012
License
23418 (CA)
Sole Proprietor
Yes

Practice Information

Address
1736 E 14TH ST
SAN LEANDRO, CA, 945774803
Browse CA providers · Browse ZIP 94577
Phone
5103511400
Fax
5103513116
Primary Specialty
Dentist
122300000X

Other Dentist Providers in SAN LEANDRO, CA

Name Credential NPI
DR. LORETO R SICAM JR. DMD 1336143189
DR. GARY SCOTT AIKAWA D.D.S. 1881683845
DR. JOHN P DIPONZIANO DDS 1770569600
DR. MICHAEL SCOTT LEE DDS 1649299140
DR. BARBARA A KELLY DMD 1871503847
DR. JAMES PAUL RUSSO D.D.S. 1750495461
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.