Mark A Willis DDS Ms PA
Mark A Willis DDS Ms PA is a healthcare organization registered as Pediatric Dentistry in Fort Smith, AR, holding Type 2 (organization) NPI 1932281805 since 2006. The authorized official on file is Mark Willis, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1932281805 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Mark A Willis DDS Ms PA |
| Practice address | 5604 ELLSWORTH RD, Fort Smith, AR, 72903 |
| Phone | 4794847336 |
| Fax | 4794848128 |
| Enumeration date | 2006-10-20 |
| Last updated in NPPES | 2020-08-22 |
Authorized official
| Name | Mark Willis |
|---|---|
| Title | Owner |
| Phone | 4794847336 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1223P0221X | Pediatric Dentistry | Primary | — | — |
Copy-ready billing details
Provider: Mark A Willis DDS Ms PA NPI: 1932281805 Taxonomy: 1223P0221X (Pediatric Dentistry) Address: 5604 ELLSWORTH RD, Fort Smith, AR, 72903
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1780318915 | Kaylee Pickartz | Individual | Behavior Analyst | Fort Smith, AR |
| 1740914688 | Katherine Guerra | Individual | Behavior Technician | Fort Smith, AR |
| 1487388328 | Delaney Vogel | Individual | Behavior Technician | Fort Smith, AR |
| 1912632134 | Lesly Ayala | Individual | Behavior Technician | Fort Smith, AR |
| 1336874551 | Joshua Johnson | Individual | Behavior Technician | Fort Smith, AR |
| 1710612940 | Jennifer Boyster | Individual | Behavior Technician | Fort Smith, AR |
| 1255067153 | Jenny Ayala | Individual | Behavior Technician | Fort Smith, AR |
| 1134855026 | Blake Shelly | Individual | Behavior Technician | Fort Smith, AR |
Verify this record
Cross-check NPI 1932281805 against the authoritative CMS record: view Mark A Willis DDS Ms PA on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Mark A Willis DDS Ms PA?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.