Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1962516211 Individual Practitioner Male Practitioner

Dr. Walter F. Tickner , DDS

Dentist • San Leandro, CA

Professional Overview & Biography Verified Profile Summary

Dr. Walter Tickner, DDS is a registered healthcare professional specializing in Dentist in San Leandro, CA. Practice services are available at 1736 E 14TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1736 E 14th St

San Leandro, CA 945774803

Telephone 5103511400
Fax 5103513116
Associated Practice Facility / Clinic
🏢 Walter F. Tickner, Dds, Inc. Facility NPI 1073627345

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in San Leandro, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.4 Yrs
Regional Practice Density
48 Specialists

Practicing in San Leandro, CA (15331 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License CA 23418

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1225685043

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 05, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location January 05, 2012

Registered at 1736 E 14TH ST, SAN LEANDRO, CA 945774803 (Tel: 5103511400)

📍
Updated Business Mailing Address January 05, 2012

Registered at 1736 E 14TH ST, SAN LEANDRO, CA 945774803 (Tel: 5103511400)

👤
Provider Name / Credentials Updated January 05, 2012

Recorded as WALTER TICKNER, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 05, 2012

Dentist (License #23418 in CA)

🟢
Initial NPI Registration & Enumeration August 17, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1962516211
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 17, 2006
Last Update: January 05, 2012
Sole Proprietor: Yes

Mailing Address

1736 E 14th St

San Leandro, CA 945774803

Phone: 5103511400

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.