Terri Ann Eubanks, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2854 Issued in AR

Practice address

300 S School St
Dermott, AR 71638-2127

Phone

(870) 538-9720

Fax

(870) 538-9710

NPI assigned

Mar 19, 2007

Last updated

Feb 10, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in AR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: terri.eubanks@mhsi.eclinicaldirectplus.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mainline Health Systems, Inc

  dba Mills Middle School

  • Federally Qualified Health Center (FQHC)
  • Little Rock, AR
  • NPI 1164264834
  Medicare reassignment NPD
• Mainline Health Systems, Inc

  • Federally Qualified Health Center (FQHC)
  • Monticello, AR
  • NPI 1669401501
  NPD
• Mainline Health Systems, Inc

  dba Mainline Health Magnolia Clinic

  • Federally Qualified Health Center (FQHC)
  • Magnolia, AR
  • NPI 1972464337
  NPD

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770681600000",
    "number": "1306960737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S SCHOOL ST",
            "city": "DERMOTT",
            "state": "AR",
            "postal_code": "716382127",
            "telephone_number": "870-538-9720",
            "fax_number": "870-538-9710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S SCHOOL ST",
            "city": "DERMOTT",
            "state": "AR",
            "postal_code": "716382127",
            "telephone_number": "870-538-9720",
            "fax_number": "870-538-9710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EUBANKS",
        "first_name": "TERRI",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "2854",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114704608",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LIC NUMBER",
            "identifier": "2854",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "833311",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARBCBS PROVIDER #",
            "identifier": "58142",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FED TAX ID",
            "identifier": "710748470",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TENN",
            "identifier": "4025414",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Delta Drug of Dermott, Inc
• Dermott City Nursing Home
• Dermott Day Service Center, Inc. (Morris Booker Early Childhood)
• Dermott Family Practice, Inc.
• Dermott High School (Dermott School District)
• Brenda Fowler, ANP
• Case Henderson, PHARMD
• Shenika Jackson-King, APRN
• Courtney Shay Johnson, CNP
• Elmer Ann Johnson

• General Practice Dentistry in Dermott, AR
• Providers in Dermott, AR by specialty
• General Practice Dentistry in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.