Dr Mark William Sisko, DDS is a
Dentist - General Practice based in Sea Isle City, New Jersey. Dr Mark William Sisko is licensed to practice in New Jersey (license number 22D101282800) and his current practice location is
4311 Landis Ave, Sea Isle City, New Jersey. He can be reached at his office (for appointments etc.) via phone at
(609) 263-4201.
NPI number for Dr Mark William Sisko is 1134112493 and his current mailing address is 4311 Landis Ave, P.o. Box No. 643, Sea Isle City, New Jersey. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1134112493.
Healthcare Provider's Profile
| Full Name | Dr Mark William Sisko |
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| Gender | Male |
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| Speciality | Dentist - General Practice |
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| Location | 4311 Landis Ave, Sea Isle City, New Jersey |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1134112493
- Provider Enumeration Date: 08/23/2005
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Mark William Sisko such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1134112493 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | 22D101282800 (New Jersey) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Mark William Sisko is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Mark William Sisko, DDS
4311 Landis Ave, P.o. Box No. 643,
Sea Isle City, NJ 08243-1838
Ph: (609) 263-4201 | Dr Mark William Sisko, DDS
4311 Landis Ave,
Sea Isle City, NJ 08243-1838
Ph: (609) 263-4201 |
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