Dr. 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.
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:
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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.