| Dr Kenneth Frank Tichansky D.m.d. | |
|
2011 9th Ave So. Birmingham AL 35205 | |
| (205) 326-6613 | |
| (205) 326-6614 |
| Full Name | Dr Kenneth Frank Tichansky D.m.d. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2011 9th Ave So., Birmingham, Alabama |
| Authorized Official Name and Position | Kenneth Frank Tichansky (OWNER) |
| Authorized Official Contact | 2053266613 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kenneth Frank Tichansky D.m.d. 2011 9th Ave So. Birmingham AL 35205 Ph: (205) 326-6613 | Dr Kenneth Frank Tichansky D.m.d. 2011 9th Ave So. Birmingham AL 35205 Ph: (205) 326-6613 |
| NPI Number | 1609022722 |
|---|---|
| Provider Enumeration Date | 08/08/2008 |
| Last Update Date | 08/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609022722 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3132 (Alabama) | Primary |
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