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Active NPI 1689801409 Individual Practitioner Male Practitioner

Dr. Charles Steadman Willis , DMD

Dentist • Durham, NC

Professional Overview & Biography Verified Profile Summary

Dr. Charles Willis, DMD is a registered healthcare professional specializing in Dentist 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 9192862235
Fax 9192862235
Associated Practice Facility / Clinic
🏢 Dr. Beth Grooms, Dds, Pa Facility NPI 1376720706

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Durham, NC

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.0 Yrs
State Avg: 13.2 Yrs
Regional Practice Density
75 Specialists

Practicing in Durham, NC (2435 Statewide)

Telehealth Adoption Rate
1.3% 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 Primary Specialty

NUCC Taxonomy Code: 122300000X

State License NC 8818

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

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

1 Associated Practitioners
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 June 18, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location June 18, 2009

Registered at 1212 BROAD ST, DURHAM, NC 277053572 (Tel: 9192862235)

📍
Updated Business Mailing Address June 18, 2009

Registered at 1212 BROAD ST, DURHAM, NC 277053572 (Tel: 9192862235)

👤
Provider Name / Credentials Updated June 18, 2009

Recorded as CHARLES WILLIS, D.M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 18, 2009

Dentist (License #8818 in NC)

🟢
Initial NPI Registration & Enumeration June 18, 2009

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: 1689801409
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 18, 2009
Last Update: June 18, 2009
Sole Proprietor: No

Mailing Address

1212 Broad St

Durham, NC 277053572

Phone: 9192862235

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.