Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARK WILLIS II, DMD

Active Sole Proprietor

MARK WILLIS II, DMD is a General Dentistry healthcare provider located in PEACHTREE CITY, Georgia. NPI 1114810991 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · PEACHTREE CITY, GA

Registration Details

NPI Number: 1114810991
Provider Type: Individual
Gender: Male
NPI Issued: May 31, 2025 (1.2182350135693 yrs)
Last Updated: May 31, 2025
License: DN123776 (GA)
Sole Proprietor: Yes

Practice Information

Address: 2513 REDWINE RD STE C

PEACHTREE CITY, GA, 302694420
Browse GA providers · Browse ZIP 30269
Phone: 7703625569
Primary Specialty: General Dentistry
1223G0001X

Other General Dentistry Providers in PEACHTREE CITY, GA

Name	Credential	NPI
DR. RONALD CARL WILCOX	D.D.S.	1114922382
DR. DOMINICK M D'AURIA	D.D.S.	1043289861
DR. NANCY J DAVIS	D.D.S.	1295704542
DR. GORDON L FLEMING	D.D.S.	1811966260
DR. KEVIN S MITCHELL	D.D.S.	1346219797
DR. J. MICHAEL WARD	D.D.S.	1528080736

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.