Organization
THE DENTAL PRACTICE OF JOHN R. SISK,D.D.S. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN R. SISK DDS (PRESIDENT)
(812) 948-8154
Entity
Organization
Contact information
Practice address
601 E SPRING ST, NEW ALBANY, IN 47150-2923
(812) 948-8154
(812) 948-8163
Mailing address
2606 WILDWOOD DR, CLARKSVILLE, IN 47129-1642
(812) 944-9055
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12006801A
IN
Other
Enumeration date
04/04/2007
Last updated
08/22/2020
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