Dr. Charles Steadman Willis III, D.M.D.
Dr. Charles Steadman Willis III is a Dentist provider (Dentist) practicing in Durham, NC, registered in the NPPES registry with NPI 1689801409 since 2009. The credential DMD stands for Doctor of Medicine in Dentistry. Practices at Dr. Beth Grooms, DDS, PA (listed at the same practice address in NPPES).
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1689801409 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Dr. Charles Steadman Willis III |
| Credential | D.M.D. |
| Sex | Male |
| Practice address | 1212 BROAD ST, Durham, NC, 27705 |
| Phone | 9192862235 |
| Fax | 9192862235 |
| Enumeration date | 2009-06-18 |
| Last updated in NPPES | 2009-06-18 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 122300000X | Dentist | Primary | 8818 | NC |
DMD — Doctor of Medicine in Dentistry: A licensed dentist; DMD and DDS are equivalent dental degrees. About the DMD credential
Copy-ready billing details
Provider: Charles Willis, D.M.D. NPI: 1689801409 Taxonomy: 122300000X (Dentist) Address: 1212 BROAD ST, Durham, NC, 27705
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1376501437 | K Elizabeth Grooms | Individual | General Practice Dentistry | Durham, NC |
| 1730259383 | Charles Willis | Individual | General Practice Dentistry | Durham, NC |
| 1891851994 | Victor Mann | Individual | General Practice Dentistry | Durham, NC |
| 1376720706 | Dr. Beth Grooms, DDS, PA | Organization | Dentist | Durham, NC |
Verify this record
Cross-check NPI 1689801409 against the authoritative CMS record: view Dr. Charles Steadman Willis III on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Is NPI 1689801409 active?
How do I verify Charles Willis's NPI record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2009-06-18.