Douglas R. Terry D.D.S., PA

Primary specialty

DentistTaxonomy code 122300000X

License

6278 Issued in NC

Legal business name

DOUGLAS R. TERRY D.D.S., PA

Practice address

504 Mulberry St SW
Lenoir, NC 28645-5725

Phone

(828) 758-1906

Fax

(828) 758-1989

NPI assigned

Nov 7, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Douglas Roger Terry II, DDS

Title

Dentist

Phone

(828) 758-1906

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1801965637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 MULBERRY ST SW",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "286455725",
            "telephone_number": "828-758-1906",
            "fax_number": "828-758-1989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 MULBERRY ST SW",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "286455725",
            "telephone_number": "828-758-1906",
            "fax_number": "828-758-1989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS R. TERRY D.D.S., PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "TERRY",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "ROGER",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "828-758-1906",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NC",
            "license": "6278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dr. Michael K Wimberly P.C.
• Jonas Eric Dravland, M.D.
• Cameo Drew
• Amanda Winkler Du Sablon, DO

• All providers in Lenoir, NC
• Dentist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.