IndividualActive
Mark Willis, D.D.S., M.S., P.A.
NPI 1326136326 · Pediatric Dentistry · Watkinsville, GA
Mark Willis, D.D.S., M.S., P.A. is a Pediatric Dentistry provider in Watkinsville, GA (NPI 1326136326).
Provider details
- NPI number
- 1326136326
- Entity type
- Individual
- Primary specialty
- Pediatric DentistryDental Providers
- Credential
- D.D.S., M.S., P.A.
- Sex
- Male
- Sole proprietor
- No
- License
- 2634 (AR)
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1795 Resurgence Dr
Watkinsville, GA 30677-7306
Phone: (479) 692-1392
Fax: (770) 982-0005
Street-level locationGet directions
Mailing address
1390 Natchez Way
Grayson, GA 30017-1084
Registry dates
- Enumerated
- 2006-10-11
- Last updated
- 2024-06-17
- Certified
- 2024-02-28
Frequently asked questions
- What is Mark Willis's NPI number?
- Mark Willis's National Provider Identifier (NPI) is 1326136326, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mark Willis's specialty?
- Mark Willis is listed in the NPPES registry with a primary specialty of Pediatric Dentistry (Dental Providers).
- Where is Mark Willis located?
- Mark Willis's practice location on file with NPPES is 1795 Resurgence Dr, Watkinsville, GA 30677-7306.
- What is Mark Willis's phone number?
- The practice phone number listed in the NPPES registry for Mark Willis is (479) 692-1392.
- Is Mark Willis's NPI active?
- Yes — Mark Willis's NPI (1326136326) is active in the NPPES registry as of the last update on 2024-06-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.