Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1124044151 Individual Practitioner Male Practitioner

Dr. Willis Stanton Hardesty , DDS

Dentist - General Practice • Raleigh, NC

Professional Overview & Biography Verified Profile Summary

Dr. Willis Hardesty, DDS is a registered healthcare professional specializing in Dentist - General Practice in Raleigh, NC. Practice services are available at 3200 BLUE RIDGE RD STE 122 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3200 Blue Ridge Rd Ste 122

Raleigh, NC 276128087

Telephone 9197810018
Associated Practice Facility / Clinic
🏢 W. Stan Hardesty, Dds, Pa Facility NPI 1568674653

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Raleigh, NC

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

Practicing in Raleigh, 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

CMS Verified: 2025-03-03
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License NC 6229

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.

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location March 03, 2025

Registered at 3200 BLUE RIDGE RD STE 122, RALEIGH, NC 276128087 (Tel: 9197810018)

📍
Updated Business Mailing Address March 03, 2025

Registered at 3200 BLUE RIDGE RD STE 122, RALEIGH, NC 276128087 (Tel: 9197810018)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 2321 BLUE RIDGE RD, SUITE 103, RALEIGH, NC 276076453 (Tel: 9197810018)

📍
Updated Business Mailing Address July 08, 2007

Registered at 2321 BLUE RIDGE RD, SUITE 103, RALEIGH, NC 276076453 (Tel: 9197810018)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as WILLIS HARDESTY, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #6229 in NC)

🟢
Initial NPI Registration & Enumeration July 14, 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: 1124044151
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 14, 2006
Last Update: March 03, 2025
Sole Proprietor: No

Mailing Address

3200 Blue Ridge Rd Ste 122

Raleigh, NC 276128087

Phone: 9197810018

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.