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

Dr. Mark A Willis, DDS, MS, PA

Individual provider Pediatric Dentistry · NPI 1326136326

Dr. Mark A Willis, DDS, MS, PA is a Pediatric Dentistry in Watkinsville, Georgia. Licensed in Arkansas and Georgia. Registered with an NPI since 2006.

Licensed in
AR, GA
In the registry since
2006
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.
MS — Master of Science
A graduate science degree.
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

1795 Resurgence Dr
Watkinsville, GA 30677-7306
Phone: (479) 692-1392
Fax: (770) 982-0005
Show map & directions

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

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence DN015576 (GA)
Pediatric Dentistry Taxonomy 1223P0221X · Licence 2634 (AR)

Record details

NPI number1326136326
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS , MS , PA
Sole proprietorNo
NPI enumeratedOctober 11, 2006
Last updated in NPPESJune 17, 2024
Certification dateFebruary 28, 2024
Mailing address1390 Natchez Way, Grayson, GA 30017-1084

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