MARK A WILLIS DDS MS PA
NPI 1932281805
Dentist - Pediatric Dentistry in Fort Smith, AR

NPI Status: Active since October 20, 2006

Contact Information

5604 ELLSWORTH RD
FORT SMITH, AR
ZIP 72903
Phone: (479) 484-7336
Fax: (479) 484-8128

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  • Organization
  • Dentist
  • Pediatric Dentistry

About MARK A WILLIS DDS MS PA

This page provides the complete NPI Profile along with additional information for Mark A Willis Dds Ms Pa, a provider established in Fort Smith, Arkansas operating as a Dentist, focusing in pediatric dentistry . The healthcare provider is registered in the NPI registry with number 1932281805 assigned on October 2006. The practitioner's primary taxonomy code is 1223P0221X. The provider is registered as an organization and their NPI record was last updated 5 years ago. Mark A Willis Dds Ms Pa operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Dr. Mark A Willis (Owner)

NPI
1932281805
Provider Name
MARK A WILLIS DDS MS PA
Entity Type
Organization
Location Address
5604 ELLSWORTH RD FORT SMITH, AR 72903
Location Phone
(479) 484-7336
Location Fax
(479) 484-8128
Mailing Address
5604 ELLSWORTH RD FORT SMITH, AR 72903
Mailing Phone
(479) 484-7336
Mailing Fax
(479) 484-8128
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-20-2006
Last Update Date
08-22-2020
Code Navigator

A dentist like Mark A Willis Dds Ms Pa is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist Pediatric Dentistry

Taxonomy Code
1223P0221X
Type
Dental Providers
Taxonomy Description
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. MARK A WILLIS

Authorized Official Title
OWNER
Authorized Official Phone
(479) 484-7336

Reviews for MARK A WILLIS DDS MS PA

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1932281805
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
296248280
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 6 + 2 + 4 + 8 + 2 + 8 + 0 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1932281805 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

BLAKE SHELLY

Behavior Technician

5604 ELLSWORTH RD
FORT SMITH, AR
ZIP 72903

(479) 926-4673

JENNY AYALA

Behavior Technician

5604 ELLSWORTH RD
FORT SMITH, AR
ZIP 72903

(479) 926-4673

JOSHUA JOHNSON

Behavior Technician

5604 ELLSWORTH RD
FORT SMITH, AR
ZIP 72903

(479) 926-4673

DELANEY VOGEL

Behavior Technician

5604 ELLSWORTH RD
FORT SMITH, AR
ZIP 72903

(479) 926-4673

JENNIFER BOYSTER

Behavior Technician

5604 ELLSWORTH RD
FORT SMITH, AR
ZIP 72903

(479) 926-4673

KATHERINE LILIANA GUERRA RBT

Behavior Technician

5604 ELLSWORTH RD
FORT SMITH, AR
ZIP 72903

(479) 926-4673

KAYLEE LAUREN PICKARTZ BCBA

Behavior Analyst

5604 ELLSWORTH RD
FORT SMITH, AR
ZIP 72903

(479) 926-4673

LESLY AYALA RBT

Behavior Technician

5604 ELLSWORTH RD
FORT SMITH, AR
ZIP 72903

(479) 276-9900

ESSENCE FUHR

Behavior Technician

5604 ELLSWORTH RD
FORT SMITH, AR
ZIP 72903

(479) 310-1984

EMILY SCHULTE

Behavior Technician

5604 ELLSWORTH RD
FORT SMITH, AR
ZIP 72903

(479) 213-7642

SHANTALLE MORRIS

Behavior Technician

5604 ELLSWORTH RD
FORT SMITH, AR
ZIP 72903

(479) 206-1092

MADISON MCNATT

Behavior Technician

5604 ELLSWORTH RD
FORT SMITH, AR
ZIP 72903

(479) 430-6400

HAYLEE SYROCK

Behavior Technician

5604 ELLSWORTH RD
FORT SMITH, AR
ZIP 72903

(479) 926-4673

BREANNA BURRIS

Behavior Technician

5604 ELLSWORTH RD
FORT SMITH, AR
ZIP 72903

(479) 264-6739

SYDNEY WELCH

Behavior Technician

5604 ELLSWORTH RD
FORT SMITH, AR
ZIP 72903

(479) 926-4673

TAYLOR WARREN

Behavior Technician

5604 ELLSWORTH RD
FORT SMITH, AR
ZIP 72903

(479) 926-4673

MARISSA HUNT

Behavior Technician

5604 ELLSWORTH RD
FORT SMITH, AR
ZIP 72903

(479) 926-4673

CRYSTAL COLBURN BT

Technician, Other

5604 ELLSWORTH RD
FORT SMITH, AR
ZIP 72903

(479) 926-4673

KIRSTEIN DUNCAN RBT

Behavior Analyst

5604 ELLSWORTH RD
FORT SMITH, AR
ZIP 72903

(479) 926-4673

JORDAN BENNETT RBT

Behavior Technician

5604 ELLSWORTH RD
FORT SMITH, AR
ZIP 72903

(479) 926-4673

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1932281805, enumerated as an "organization" on October 20, 2006.

The provider is located at 5604 ELLSWORTH RD FORT SMITH, AR 72903 and the phone number is (479) 484-7336.

Dentist with taxonomy code 1223P0221X and a focus in Pediatric Dentistry.