Organization · Type 2 NPI

Matthew Ticola DMD LLC

Pediatric Dentistry · Guntersville, AL

NPI number 1699202960 Active

Practice location

11521 US Highway 431 Ste V
Guntersville, AL 35976-5671

Specialties and licenses

Taxonomy	Code	License
Pediatric Dentistry Primary	1223P0221X	D0005747-C (AL)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Another provider at this address

Matthew Paul Ticola, DMDPediatric Dentistry Guntersville, AL NPI 1346387644

NPI record

NPI: 1699202960
Entity type: Organization (Type 2)
Issued: May 17, 2017
Last updated: May 17, 2017
Status: Active

Other names

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Little Critters Pediatric Dentistry · other name
Little Critters Pediatric Dentistry · other name

Authorized official

Matthew Ticola
Manager
(256) 505-8954

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1699202960

Matthew Ticola DMD LLC's National Provider Identifier is 1699202960, issued on May 17, 2017. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Guntersville, AL. The record was last updated on May 17, 2017.