1. Home
  2. Directory
  3. North Carolina
  4. Durham
  5. Dentist
  6. NPI Profile

DR. CHARLES STEADMAN WILLIS DDS
NPI 1730259383
Dentist - General Practice in Durham, NC

Active since November 09, 2006
1212 BROAD ST, DURHAM, NC 27705(919) 286-0745(919) 286-2352 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Charles Steadman Willis Dds NPPES

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

DR. CHARLES STEADMAN WILLIS DDS (NPI 1730259383) is an individual general practice provider in Durham, North Carolina, licensed in North Carolina (3977) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1730259383
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. CHARLES STEADMAN WILLISCredential: DDS
Location Address1212 BROAD STDurham, NC 27705-3572
Mailing Address1212 Broad StDurham, NC 27705-3572 · (919) 286-0745 · Fax (919) 286-2352
Phone(919) 286-0745
Fax(919) 286-2352
Sole ProprietorYes
Enumeration DateNovember 9, 2006
Last NPPES UpdateJuly 9, 2007
✔ NPI 1730259383 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 · 3977
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.
1212 BROAD ST, Durham, NC 27705
Open in Google Maps ↗

Other Identifiers 2

Medicaid8999377NC
Medicare UPINU29003NC

Other Providers at the Same Location NPPES 5

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

DR. K ELIZABETH A GROOMS D.D.S.
Dentist (General Practice)
1212 BROAD ST
DURHAM, NC 27705
Durham County (919) 286-4439
DR. BETH GROOMS, DDS, PA
Dentist
1212 BROAD ST
DURHAM, NC 27705
Durham County (919) 286-4439
DR. WILLIAM ARGERSINGER DDS
Dentist (General Practice)
1212 BROAD ST
DURHAM, NC 27705
Durham County (919) 286-0779
DR. CHARLES STEADMAN WILLIS III D.M.D.
Dentist
1212 BROAD ST
DURHAM, NC 27705
Durham County (919) 286-2235
DR. VICTOR W. MANN D.D.S.
Dentist (General Practice)
1212 BROAD ST
DURHAM, NC 27705
Durham County (919) 286-2235

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 Charles Willis's NPI number?

The NPI number for Charles Willis is 1730259383. It was assigned to this individual provider in the NPPES registry on November 9, 2006.

Where is Charles Willis located?

Charles Willis practices at 1212 Broad St, Durham, NC 27705. The listed phone number is (919) 286-0745.

What is Charles Willis'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 Charles Willis was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.