Dr. Matthew Ticich, DMD

Individual provider Endodontics · NPI 1407297484

Dr. Matthew Ticich, DMD is an Endodontics in Fort Campbell, Kentucky. Practices as a sole proprietor. Licensed in California, Colorado, Tennessee and Texas.

Licensed in: CA, CO, TN, TX
In the registry since: 2013
Specialties on file: 4

What do these letters mean?

DMD — Doctor of Dental Medicine: A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

6145 Desert Storm Ave
Fort Campbell, KY 42223-5558
Phone: (951) 529-2070

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Endodontics (primary)	Taxonomy 1223E0200X · Licence 62475 (CA)
Endodontics	Taxonomy 1223E0200X · Licence 11869 (TN)
Dentist	Taxonomy 122300000X · Licence DEN.00203425 (CO)
General Practice Dentistry	Taxonomy 1223G0001X · Licence 31790 (TX)

Record details

NPI number	1407297484
Entity type	Individual (Type 1)
Gender	Male
Credentials	DMD
Sole proprietor	Yes
NPI enumerated	July 8, 2013
Last updated in NPPES	July 8, 2026
Certification date	July 8, 2026
Mailing address	40203 Odessa Dr, Temecula, CA 92591-6167