Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1730259383 Individual Practitioner Male Practitioner

Dr. Charles Steadman Willis , DDS

Dentist - General Practice • Durham, NC

Professional Overview & Biography Verified Profile Summary

Dr. Charles Willis, DDS is a registered healthcare professional specializing in Dentist - General Practice in Durham, NC. Practice services are available at 1212 BROAD ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1212 Broad St

Durham, NC 277053572

Telephone 9192860745
Fax 9192862352
Associated Practice Facility / Clinic
🏢 Dr. Beth Grooms, Dds, Pa Facility NPI 1376720706

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Durham, NC

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 11.6 Yrs
Regional Practice Density
142 Specialists

Practicing in Durham, NC (4047 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License NC 3977

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
8999377 (NC)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Dr. K Elizabeth Grooms , DDS

Dentist - General Practice

NPI 1376501437

Doctor of Dental Surgery

NPI 1689801409

Doctor of Dental Medicine

NPI 1699786830

DDSMS

Dr. Victor Mann , DDS

Dentist - General Practice

NPI 1891851994

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 1212 BROAD ST, DURHAM, NC 277053572 (Tel: 9192860745)

📍
Updated Business Mailing Address July 09, 2007

Registered at 1212 BROAD ST, DURHAM, NC 277053572 (Tel: 9192860745)

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as CHARLES WILLIS, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Dentist (License #3977 in NC)

🟢
Initial NPI Registration & Enumeration November 09, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1730259383
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 09, 2006
Last Update: July 09, 2007
Sole Proprietor: Yes

Mailing Address

1212 Broad St

Durham, NC 277053572

Phone: 9192860745

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.