| Dr Mark A Willis, DDS, MS, PA | |
|
1795 Resurgence Dr, Watkinsville, GA 30677-7306 | |
| (479) 692-1392 | |
| (770) 982-0005 |
| Full Name | Dr Mark A Willis |
|---|---|
| Gender | Male |
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1795 Resurgence Dr, Watkinsville, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326136326 | NPI | - | NPPES |
| 100140260A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 2634 (Arkansas) | Secondary |
| 1223P0221X | Dentist - Pediatric Dentistry | DN015576 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mark A Willis, DDS, MS, PA 1390 Natchez Way, Grayson, GA 30017-1084 Ph: (770) 337-1835 | Dr Mark A Willis, DDS, MS, PA 1795 Resurgence Dr, Watkinsville, GA 30677-7306 Ph: (479) 692-1392 |
Dr. Richard C Manus Jr., D.M.D. Dentist Medicare: May Accept Medicare Assignments Practice Location: 1360 Caduceus Way, Building 500 Suite 101, Watkinsville, GA 30677 Phone: 706-548-0604 Fax: 706-353-0884 | |
Dr. Kenneth Bradley Hall, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1360 Caduceus Way, Bldg 900 Ste 101, Watkinsville, GA 30677 Phone: 706-543-3629 Fax: 706-543-5107 | |
Ryan Adams, Dentist Medicare: Not Enrolled in Medicare Practice Location: 1285 Virgil Langford Rd, Watkinsville, GA 30677 Phone: 706-521-0352 | |
Chandler Grove, Dentist Medicare: Not Enrolled in Medicare Practice Location: 1360 Caduceus Way, Watkinsville, GA 30677 Phone: 706-543-3629 | |
Dr. Wendy Bamford, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1120 Mars Hill Rd Ste 100, Watkinsville, GA 30677 Phone: 706-769-1945 | |
Kara Hester Johnson, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1360 Caduceus Way, Watkinsville, GA 30677 Phone: 706-543-3629 |