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 & Directions
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.
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 NumberSpecializationStateStatus
DN015576Pediatric Dentistry GeorgiaPrimary
2634Pediatric Dentistry ArkansasSecondary
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.
IdentifierTypeStateIssuer
100140260AMedicaidOklahoma
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.

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