Mark A Willis Dds Ms Pa in Fort Smith - Pediatric Dentistry
Mark A Willis Dds Ms Pa - NPI 1932281805
Mark A Willis Dds Ms Pa is a Pediatric Dentistry in Fort Smith, Arkansas. Mark A Willis Dds Ms Pa practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Mark A Willis Dds Ms Pa is 1932281805. The last update date is 2020-08-22.
Mark A Willis Dds Ms Pa's current location address is 5604 Ellsworth Rd, Fort Smith, Arkansas. You can contact this provider via phone number 4794847336 and fax number 4794848128. The mailing address for Mark A Willis Dds Ms Pa is 5604 Ellsworth Rd, Fort Smith, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mark A Willis Dds Ms Pa |
|---|---|
| Address | 5604 Ellsworth Rd, Fort Smith, Arkansas |
| Phone Number | 4794847336 |
| Fax Number | 4794848128 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Willis A Mark |
| Telephone Number | 4794847336 |
NPI Number Detail
| NPI Number | 1932281805 |
|---|---|
| Provider Enumeration Date | 2006-10-20 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 5604 Ellsworth Rd |
|---|---|
| City | Fort Smith |
| State | Arkansas (AR) |
| Post Code | 72903 |
| Phone Number | 4794847336 |
| Fax Number | 4794848128 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
|
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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Post Comment/ Review Below
What is the unique identifier code issued to Mark A Willis Dds Ms Pa by the Centers for Medicare & Medicaid Services (CMS)?
The Mark A Willis Dds Ms Pa has been assigned the NPI (National Provider Identifier) 1932281805. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Mark A Willis Dds Ms Pa's physical address?
The Mark A Willis Dds Ms Pa is physically located at 5604 Ellsworth Rd, in the city of Fort Smith, AR, with the postal code 72903.
What is Mark A Willis Dds Ms Pa's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Mark A Willis Dds Ms Pa is Pediatric Dentistry, and the taxonomy code that classifies this field of practice is 1223P0221X.
On what date was the 1932281805 assigned to Mark A Willis Dds Ms Pa?
The Mark A Willis Dds Ms Pa was issued its 1932281805 on 2006-10-20, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Mark A Willis Dds Ms Pa, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Mark A Willis Dds Ms Pa, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.
NPI Number: 1215930425
Address: 224 W Exchange St, Akron, OH