Mark Tickle, DMD

NPI 1477886026 · on the registry since 2009 · sole proprietor

Practice

Address: 711 Kornegay Dr
Suite A
Prattville, AL 36066
Phone: (334) 285-7111
Fax: (334) 285-3310
Organisation at this address: Wise Omfs
Kim P. Kornegay, Dmd
Autauga Dental Care, Llc
Stonecreek Dental Of Alabama
Mountain Smiles - Prattville Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 122300000X
122300000X
Licence states on file: AL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2009-09-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Alabama