Mark Willis, D.D.S., M.S., P.A

NPI 1326136326 · on the registry since 2006

Practice

Address: 1795 Resurgence Dr
Watkinsville, GA 30677
Phone: (479) 692-1392
Fax: (770) 982-0005
Organisation at this address: Samuel S Kwon - Athens Dmd Pc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: 1223P0221X
1223P0221X
Also registered as: 1223P0221X
Licence states on file: AR, GA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2024-06-17

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