Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Indira Tikhonova

Individual provider Dentist · NPI 1396438636

Indira Tikhonova is a Dentist in Travelers Rest, South Carolina. Qualified in 2023, 3 years ago. Licensed in New Hampshire.

Years since qualifying
3
Licensed in
NH
In the registry since
2023

Practice location Address checks out

309 N Main St
Travelers Rest, SC 29690-1527
Phone: (864) 610-6188
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 04865 (NH)

Record details

NPI number1396438636
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 1, 2023
Last updated in NPPESOctober 15, 2024
Certification dateOctober 15, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDENTIST
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Travelers Rest