Organization
TIMOTHY J. SILLS DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY J SILLS DMD (PRESIDENT)
(636) 661-5205
Entity
Organization
Contact information
Practice address
102 LOCUST AVENUE, OLD MONROE, MO 63369-0047
(636) 661-5205
Mailing address
PO BOX 47, 102 LOCUST, OLD MONROE, MO 63369-0047
(636) 661-5205
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
15083
MO
Other
Enumeration date
06/11/2007
Last updated
08/22/2020
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