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

Active since October 20, 2006
5604 ELLSWORTH RD, FORT SMITH, AR 72903(479) 484-7336(479) 484-8128 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mark A Willis Dds Ms Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARK A WILLIS DDS MS PA (NPI 1932281805) is a healthcare organization registered as a pediatric dentistry in Fort Smith, Arkansas and active in the NPI registry since October 2006. The organization lists Mark A Willis, Owner, as its authorized official.

NPPES Registry Identity

NPI1932281805
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameMARK A WILLIS DDS MS PA
Location Address5604 ELLSWORTH RDFort Smith, AR 72903
Mailing Address5604 Ellsworth RdFort Smith, AR 72903 · (479) 484-7336 · Fax (479) 484-8128
Phone(479) 484-7336
Fax(479) 484-8128
Organization SubpartNo
Authorized OfficialMark A WillisOwner · (479) 484-7336
Enumeration DateOctober 20, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1932281805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
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.
5604 ELLSWORTH RD, Fort Smith, AR 72903
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SYDNEY WELCH
Behavior Technician
5604 ELLSWORTH RD
FORT SMITH, AR 72903
Sebastian County (479) 926-4673
BLAKE SHELLY
Behavior Technician
5604 ELLSWORTH RD
FORT SMITH, AR 72903
Sebastian County (479) 926-4673
BROOKLYN MARIE ADAMS
Physical Therapy Assistant
5604 ELLSWORTH RD
FORT SMITH, AR 72903
Sebastian County (479) 322-0546
JENNY AYALA
Behavior Technician
5604 ELLSWORTH RD
FORT SMITH, AR 72903
Sebastian County (479) 926-4673
TAYLOR WARREN
Behavior Technician
5604 ELLSWORTH RD
FORT SMITH, AR 72903
Sebastian County (479) 926-4673
ESSENCE FUHR
Behavior Technician
5604 ELLSWORTH RD
FORT SMITH, AR 72903
Sebastian County (479) 310-1984
JOSHUA JOHNSON
Behavior Technician
5604 ELLSWORTH RD
FORT SMITH, AR 72903
Sebastian County (479) 926-4673
TAYTELAN FREEMAN RBT
Behavior Technician
5604 ELLSWORTH RD
FORT SMITH, AR 72903
Sebastian County (479) 926-4673

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark A Willis Dds Ms PA's NPI number?

The NPI number for Mark A Willis Dds Ms PA is 1932281805. It was assigned to this organization in the NPPES registry on October 20, 2006.

Where is Mark A Willis Dds Ms PA located?

Mark A Willis Dds Ms PA is located at 5604 Ellsworth Rd, Fort Smith, AR 72903. The listed phone number is (479) 484-7336.

What is Mark A Willis Dds Ms PA's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Mark A Willis Dds Ms PA was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.