DR. WILLIS STANTON HARDESTY JR. DDS
NPI 1124044151
Dentist - General Practice in Raleigh, NC

Q: What is Willis Hardesty's NPI number?

The NPI number for Willis Hardesty is 1124044151. It was assigned to this individual provider in the NPPES registry on July 14, 2006.

Q: What is Willis Hardesty's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Willis Hardesty was last updated on March 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 14, 2006

3200 BLUE RIDGE RD STE 122, RALEIGH, NC 27612(919) 781-0018 Get Directions Write a Review

NPPES record last updated: March 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Willis Stanton Hardesty Jr. Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. WILLIS STANTON HARDESTY JR. DDS (NPI 1124044151) is an individual general practice provider in Raleigh, North Carolina, licensed in North Carolina (6229) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1124044151

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. WILLIS STANTON HARDESTY JR.Credential: DDS

Location Address3200 BLUE RIDGE RD STE 122Raleigh, NC 27612-8087

Mailing Address3200 Blue Ridge Rd Ste 122Raleigh, NC 27612-8087 · (919) 781-0018

Phone(919) 781-0018

Sole ProprietorNo

Enumeration DateJuly 14, 2006

Last NPPES UpdateMarch 3, 2025

NPPES CertifiedMarch 3, 2025

✔ NPI 1124044151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in NC · 6229

Definition

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.

3200 BLUE RIDGE RD STE 122, Raleigh, NC 27612

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

W. STAN HARDESTY, DDS, PA

Dentist (General Practice)

3200 BLUE RIDGE RD STE 122
RALEIGH, NC 27612

Wake County (919) 781-0018

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Willis Hardesty's NPI number?

The NPI number for Willis Hardesty is 1124044151. It was assigned to this individual provider in the NPPES registry on July 14, 2006.

Where is Willis Hardesty located?

Willis Hardesty practices at 3200 Blue Ridge Rd Ste 122, Raleigh, NC 27612. The listed phone number is (919) 781-0018.

What is Willis Hardesty's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Willis Hardesty was last updated on March 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.