Dr. Mark A Willis
D.D.S., M.S., P.A. | Pediatric Dentist
1795 Resurgence Dr, Watkinsville
Georgia, 30677-7306
479-692-1392 770-982-0005
Maps & DirectionsDr. Mark A Willis is a Watkinsville, Georgia based Pediatric Dentist who is specialized in
Pediatric Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Mark A Willis is
DN015576 for Pediatric Dentistry in Georgia. His current practice location is
1795 Resurgence Dr, Watkinsville. Patients can reach him at
479-692-1392.
Dr. Mark A Willis provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Profile:
Dr. Mark A Willis speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Dr. Mark A Willis |
| Specialization: | Pediatric Dentist |
| Gender: | Male |
| Credentials: | D.D.S., M.S., P.A. |
| Accepts Medicare Assignment: | No |
| Practice Address: | 1795 Resurgence Dr, Watkinsville,
Georgia, 30677-7306 |
| Phone: | 479-692-1392 |
| Fax: | 770-982-0005 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1326136326 |
| NPI Enumeration Date: | 11 Oct, 2006 |
| NPI Last Update On: | 17 Jun, 2024 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Mark A Willis are as mentioned below.
| License Number | Specialization | State | Status | |
| DN015576 | Pediatric Dentistry | Georgia | Primary | |
| 2634 | Pediatric Dentistry | Arkansas | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Mark A Willis such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 100140260A | Medicaid | Oklahoma | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1390 Natchez Way,
Grayson, Georgia |
| Zip: | 30017-1084 |
| Phone Number: | 770-337-1835 |
Patients can reach Dr. Mark A Willis at
1795 Resurgence Dr, Watkinsville, Georgia or can
call to book an appointment on 479-692-1392.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.