| Timothy J. Sills Dmd Pc | |
|
102 Locust Avenue Old Monroe MO 63369-0047 | |
| (636) 661-5205 | |
| Not Available |
| Full Name | Timothy J. Sills Dmd Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 102 Locust Avenue, Old Monroe, Missouri |
| Authorized Official Name and Position | Timothy J Sills (PRESIDENT) |
| Authorized Official Contact | 6366615205 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy J. Sills Dmd Pc Po Box 47 102 Locust Old Monroe MO 63369-0047 Ph: (636) 661-5205 | Timothy J. Sills Dmd Pc 102 Locust Avenue Old Monroe MO 63369-0047 Ph: (636) 661-5205 |
| NPI Number | 1316140874 |
|---|---|
| Provider Enumeration Date | 06/11/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316140874 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 15083 (Missouri) | Primary |