Active NPIIndividual providerSole proprietor

Michael W Tichy, DMD

Dentist, General Practice in Derby, Connecticut

NPI Number1598908428
Practice location
435 New Haven Ave, Derby, CT 06418-2534
Fax
203-735-0439
Last updated
April 10, 2009

Michael William Tichy is a Dentist, General Practice based in Derby, CT. Michael William Tichy practices in Derby, CT and has the professional credentials of DMD. The NPI Number for Michael William Tichy is 1598908428 and holds a License No. 005931 (CT). The current practice location address for Michael William Tichy is 435 New Haven Ave, Derby, CT 06418-2534 and can be reached out via phone at 203-735-7500 and via fax at 203-735-0439.

Provider Profile Details

NPI Number
1598908428
Provider Name
Michael William Tichy
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
435 New Haven Ave, Derby, CT 06418-2534
Phone Number
203-735-7500
Fax Number
203-735-0439
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Provider Enumeration Date
April 8, 2009
Last Update Date
April 10, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
435 New Haven Ave
Derby, CT 06418-2534
City
Derby
Zip
06418-2534
Phone Number
203-735-7500
Fax Number
203-735-0439
Derby, CT 06418Get directions →

Provider Business Mailing Address Details

Address
435 New Haven Ave
Derby, CT 06418-2534
City
Derby
State
CT
Zip
06418-2534
Phone Number
203-735-7500
Fax Number
203-735-0439

License Information

License Number
005931
License State
CT
Taxonomy
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Michael W Tichy, DMD?

The NPI number of Michael W Tichy, DMD is 1598908428. It was assigned on April 8, 2009 and is currently active in the NPPES registry.

What is the specialty of Michael W Tichy, DMD?

Michael W Tichy, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in CT under license number 005931.

Where does Michael W Tichy, DMD practice?

The practice location is 435 New Haven Ave, Derby, CT 06418-2534. The office can be reached at 203-735-7500 (phone) or 203-735-0439 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1598908428 directly on the NPPES registry website.

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