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

DR. MARK A WILLIS, D.D.S., M.S., P.A.

Active

DR. MARK A WILLIS, D.D.S., M.S., P.A. is a Pediatric Dentistry healthcare provider located in WATKINSVILLE, Georgia. NPI 1326136326 is currently active in the NPPES registry. Verify at CMS.

Pediatric Dentistry · WATKINSVILLE, GA

Registration Details

NPI Number
1326136326
Provider Type
Individual
Gender
Male
NPI Issued
Oct 11, 2006 (19.862701490387 yrs)
Last Updated
Jun 17, 2024
Licenses
2634 (AR)
DN015576 (GA)

Practice Information

Address
1795 RESURGENCE DR
WATKINSVILLE, GA, 306777306
Browse GA providers · Browse ZIP 30677
Phone
4796921392
Fax
7709820005
Primary Specialty
Pediatric Dentistry
1223P0221X
Additional Specialty
Pediatric Dentistry

Other Pediatric Dentistry Providers in WATKINSVILLE, GA

Name Credential NPI
EMILY J. BRADLEY D.M.D. 1326194564
DR. RODRELL S. BROWN DDS 1962678276
TIFFANIE BROWN DDS 1487392163
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.