Dr. Douglas S. Fry DDS PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

200002701036 Issued in NC

Legal business name

DR. DOUGLAS S. FRY DDS PLLC

Practice address

1911 S 17TH St Ste 140
Wilmington, NC 28401-6662

Phone

(910) 762-7736

Fax

(910) 251-8845

NPI assigned

Jul 17, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Douglas S Fry, DDSNPI 1811992027

Title

Owner

Phone

(910) 762-7736

Specialties & licenses 1

Addresses

Other names 1

• Sunshine Children's Dentistry Other name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Douglas Sterling Fry Sr., DDS

  • Pediatric Dentistry
  • Wilmington, NC
  • NPI 1811992027
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1500249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1083136568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1911 S 17TH ST STE 140",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284016662",
            "telephone_number": "910-762-7736",
            "fax_number": "910-251-8845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 S 17TH ST STE 140",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284016662",
            "telephone_number": "910-762-7736",
            "fax_number": "910-251-8845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. DOUGLAS S. FRY DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-17",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "FRY",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-762-7736",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "200002701036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunshine Children's Dentistry",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Dr. Cameron & Associates V One, PLLC (CarolinasDentist Sedation & Implant Center)
• Dr. Cameron & Associates XI, PLLC (CarolinasDentist)
• Dr. Neal Williams
• Dr. Timothy H. Mihle
• Dr. Yael Gold, P.C.
• Dr.Robert S. Point DDS PLLC (Dr. Robert Point)
• Michelle Jennifer Drago

• Dentist in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Dentist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.