Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mark a Willis DDS MS PA

Organization Pediatric Dentistry · NPI 1932281805

Mark a Willis DDS MS PA is a Pediatric Dentistry in Fort Smith, Arkansas. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5604 Ellsworth Rd
Fort Smith, AR 72903
Phone: (479) 484-7336
Fax: (479) 484-8128
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X

Record details

NPI number1932281805
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Willis — Owner · (479) 484-7336
NPI enumeratedOctober 20, 2006
Last updated in NPPESAugust 22, 2020
Mailing address5604 Ellsworth Rd, Fort Smith, AR 72903

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