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

Mark Willis II, DMD

Individual provider General Practice Dentistry · NPI 1114810991

Mark Willis II, DMD is a General Practice Dentistry in Peachtree City, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2025
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

2513 Redwine Rd Ste C
Peachtree City, GA 30269-4420
Phone: (770) 362-5569
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DN123776 (GA)

Record details

NPI number1114810991
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedMay 31, 2025
Last updated in NPPESMay 31, 2025
Certification dateMay 31, 2025

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