Organization
MARK FRANKLIN SILLS DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK FRANKLIN SILLS (DDS PC)
(812) 279-2022
Entity
Organization
Contact information
Practice address
602 HOOSIER AVE, OOLITIC, IN 47451
(812) 279-2022
(812) 277-9915
Mailing address
PO BOX 2, 602 HOOSIER AVE, OOLITIC, IN 47451
(812) 279-2022
(812) 277-9915
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12009781
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200180760A
—
IN
Enumeration date
12/12/2006
Last updated
08/15/2011
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