Douglas Terry, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

4847 Issued in AR

Practice address

5505 Euper LN
Fort Smith, AR 72903-3233

Phone

(479) 478-6060

NPI assigned

Jun 6, 2025

Last updated

Jun 6, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• R Kendall Roberts DDS PA

  • General Practice Dentistry
  • Fort Smith, AR
  • NPI 1669169199
  NPD
• Kendall Roberts DDS PC

  • General Practice Dentistry
  • Fort Smith, AR
  • NPI 1669641098
  NPD (past)

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

{
    "created_epoch": "1749168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749168000000",
    "number": "1932093572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5505 EUPER LN",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729033233",
            "telephone_number": "479-478-6060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5505 EUPER LN",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729033233",
            "telephone_number": "479-478-6060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRY",
        "first_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-06",
        "last_updated": "2025-06-06",
        "certification_date": "2025-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AR",
            "license": "4847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark D Teeter, M.D.
• Pedro L Tena, COTA/L
• John D. Terrell, MD
• Terry Brackman DO Inc. (Brackman Family Practice)
• Alexsia Terry
• Carolanne Teter
• Jennifer Rebecca Tetirick
• Joseph Kent Tetirick, APN
• Jiabey Thach, PT, DPT
• Lisa T Thai, PLMSW

• Dentist in Fort Smith, AR
• Providers in Fort Smith, AR by specialty
• Dentist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2025; 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.