# MATTHEW TICOLA DMD LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Little Critters Pediatric Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699202960
- **Authorized official:** MATTHEW TICOLA (MANAGER)
- **Authorized official phone:** (256) 505-8954

## Contact information

- **Practice address:** 11521 US HIGHWAY 431 STE V, GUNTERSVILLE, AL 35976-5671
- **Practice address phone:** (256) 505-8954
- **Mailing address:** 11521 US HIGHWAY 431 STE V, GUNTERSVILLE, AL 35976-5671

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0221X | Pediatric Dentistry | D0005747-C | AL | Yes |

## Other

- **Enumeration date:** 05/17/2017
- **Last updated:** 05/17/2017