SearchGeorgiaGeneral Practice Dentistry

Mark Willis, DMD

NPI 1114810991 · on the registry since 2025 · sole proprietor

Practice

Address
2513 Redwine Rd Ste C
Peachtree City, GA 30269
Phone
(770) 362-5569
Clinicians at this address
3

Registry record

Primary taxonomy
General Practice Dentistry
1223G0001X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-05-31

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia