Timothy J. Sills DMD PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

15083 Issued in MO

Legal business name

TIMOTHY J. SILLS DMD PC

Practice address

102 Locust Avenue
Old Monroe, MO 63369-0047

Phone

(636) 661-5205

NPI assigned

Jun 11, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Timothy J Sills, DMDNPI 1821115940

Title

President

Phone

(636) 661-5205

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Timothy J Sills, DMD

  • General Practice Dentistry
  • Old Monroe, MO
  • NPI 1821115940
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316140874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 47",
            "address_2": "102 LOCUST",
            "city": "OLD MONROE",
            "state": "MO",
            "postal_code": "633690047",
            "telephone_number": "636-661-5205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 LOCUST AVENUE",
            "city": "OLD MONROE",
            "state": "MO",
            "postal_code": "633690047",
            "telephone_number": "636-661-5205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY J. SILLS DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SILLS",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "636-661-5205",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "15083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Klamm
• Kathleen Elizabeth McCoy, MA, CRC, LPC
• Abigail Ortego
• Timothy J Sills, DMD
• Sara Springer, ANP
• Amelia J Titone, ABA

• General Practice Dentistry in Old Monroe, MO
• Providers in Old Monroe, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.