MEDICARE: DR. DAVID B SILLS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	R3038	AR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1063409878
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID B SILLS MD

Provider Business Mailing Address
First Line	:	8101 MCCLURE DR STE 203
Second Line	:
City	:	FORT SMITH
State	:	AR
Zip	:	72916-6044
Country	:	US
Telephone Number	:	479-242-2577
Fax Number	:	479-434-5987

Provider Business Practice Location Address
First Line	:	8101 MCCLURE DR # 203
Second Line	:
City	:	FORT SMITH
State	:	AR
Zip	:	72916-6057
Country	:	US
Telephone Number	:	792-422-5774
Fax Number	:	479-434-5987

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/06/2005
Last Update Date	:	12/01/2025

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Directions to “ DR. DAVID B SILLS MD” Practice Location

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