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Dr. Mark A Willis, DDS,MS,PA
Pediatric Dentist in Fort Smith, Arkansas
NPI 1326136326

Mark A Willis is a Pediatric Dentist based in Fort Smith, AR and is specialized in Pediatric Dentistry. Mark A Willis practices in Fort Smith, AR and has the professional credentials of DDS,MS,PA. The NPI Number for Mark A Willis is 1326136326 and holds a License No. 2634 (Arkansas).

The current practice location address for Mark A Willis is 5604 Ellsworth Rd, Fort Smith, AR and can be reached out via phone at 479-484-7336 and via fax at 479-484-8128. You can also correspond with Mark A Willis through the mailing address at 135 N 49TH ST, FORT SMITH, AR - 72903-2317 (mailing address contact number: 479-452-1336).

Location: 5604 Ellsworth Rd, Fort Smith, AR, 72903-2317
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Provider Profile Details
NPI Number
1326136326
Provider Name
Mark A Willis
Credential
DDS,MS,PA
Provider Entity Type
Individual
Gender
Male
Address
5604 Ellsworth Rd, Fort Smith, AR, 72903-2317
Phone Number
479-484-7336
Fax Number
479-484-8128
Provider Enumeration Date
10/11/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100140260A 05 OK
institution
Provider Business Practice Location Address Details
Address
5604 Ellsworth Rd
City
State
Zip
72903-3224
Phone Number
479-484-7336
Fax Number
479-484-8128
person
Provider Business Mailing Address Details
Address
135 N 49Th St
City
State
Zip
72903-2317
Phone Number
479-452-1336
Fax Number
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Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
2634 (Arkansas)
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.
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