Healthcare Provider Details

I. General information

NPI: 1063409878
Provider Name (Legal Business Name): DAVID B SILLS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2005
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8101 MCCLURE DR # 203
FORT SMITH AR
72916-6057
US

IV. Provider business mailing address

8101 MCCLURE DR STE 203
FORT SMITH AR
72916-6044
US

V. Phone/Fax

Practice location:
  • Phone: 792-422-5774
  • Fax: 479-434-5987
Mailing address:
  • Phone: 479-242-2577
  • Fax: 479-434-5987

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberR3038
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: