DR. DOUGLAS S. FRY DDS PLLC (NPI# 1083136568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083136568 |
| Entity Type | Organization |
| Organization Name | DR. DOUGLAS S. FRY DDS PLLC |
| Other Organization Name | SUNSHINE CHILDREN'S DENTISTRY |
| Practice Address |
1911 S 17th St Ste 140 Wilmington NC 28401-6662 |
| Practice Telephone | (910) 762-7736 |
| Practice Fax Number | 9102518845 |
| Mailing Telephone | 9107627736 |
| Mailing Fax Number | 9102518845 |
| Enumeration Date | 2017-07-17 |
| Last Update Date | 2017-07-17 |
| Authorized Official Name | DR. DOUGLAS S FRY (OWNER) |
| Authorized Official Telephone | 9107627736 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 200002701036 | NC | Dental Providers |
| Other Name | Type Code |
|---|---|
| Sunshine Children's Dentistry | Other Name - Individual/Organization |
| Street Address |
1911 S 17TH ST STE 140 |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28401-6662 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275002461 | Thrivetothrive, LLC | Physical Therapist | 1606 Physicians Drive, Inside Promina Health, Wilmington, NC 28401 | 2018-11-16 |
| 1841787454 | Kevin Christopher Panebianco | Family Medicine | 1911 S 17th St Ste 130a, Wilmington, NC 28401 | 2018-04-18 |
| 1518472588 | Michelle Bruin | Family Medicine | 415 S. 2nd Street, Wilmington, NC 28401 | 2017-12-12 |
| 1639617343 | Anna Farwell | Behavior Technician | 3904 Oleander Dr. Suite 102, Wilmington, NC 28401 | 2017-02-02 |
| 1588034144 | Dimitri Zivko Pitovski | Allergy & Immunology | 1099 Medical Center Dr Unit 100b, Wilmington, NC 28401 | 2015-09-25 |
| 1629457007 | Megan Havel | Counselor | 1512 E Lakeshore Drive, Wilmington, NC 28401 | 2015-05-19 |
| 1154709251 | Lance Hutchens | Dentist | 1611 Doctors Cir, Wilmington, NC 28401 | 2015-05-11 |
| 1609281161 | Diane Pittman Whitford | Counselor | 313 Walnut St., Wilmington, NC 28401 | 2014-06-24 |
| 1942550728 | Bryan Cole Chalk | Nurse Anesthetist, Certified Registered | 2131 S 17th Street, Wilmington, NC 28401 | 2012-09-19 |
| 1740566546 | Valerie Baars | Pharmacist | 2302 S 17th Street, Wilmington, NC 28401 | 2011-10-25 |
| Find all providers in zip 28401 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376155507 | Evan Michael Vallee | Dentist | 5023 Market Street Wilmington, Wilmington, NC 28405 | 2020-08-19 |
| 1174045066 | Emma Yunyi Yang | Dentist | 6 Larch Ave Ste 402, Wilmington, DE 19804 | 2017-07-12 |
| 1982136305 | Ryan Graham | Dentist | 1601 Milltown Rd Ste 25, Wilmington, DE 19808-4084 | 2017-04-03 |
| 1770037400 | Woodmill Dental LLC | Dentist | 5185 W Woodmill Dr, Suite #2, Wilmington, DE 19808-4067 | 2016-08-10 |
| 1033587001 | Wilmington Dental Group, PC | Dentist | 206 Ballardvale St, Wilmington, MA 01887-1044 | 2015-09-09 |
| 1255720215 | Farjam Shadaiee Yashmerani, Dds Inc. | Dentist | 445 E Anaheim St Ste M, Wilmington, CA 90744-4600 | 2015-01-14 |
| 1134565963 | Ahmad Eltejaye | Dentist | 501 W 14th St # 2w22, Wilmington, DE 19801-1013 | 2013-05-20 |
| 1831465293 | Tera D Harrison | Dentist | 5225 Sigmon Rd, Wilmington, NC 28403-1682 | 2012-03-29 |
| 1447536743 | Dana Ann Evans-semmel | Dentist | 1310 Airlie Rd, Wilmington, NC 28403-3727 | 2011-10-31 |
| 1881980969 | Meredith Taylor Edgerton Glenn | Dentist | 1426 Commonwealth Dr, Wilmington, NC 28403-0302 | 2011-06-27 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 28401 |
Please comment or provide details below to improve the information on DR. DOUGLAS S. FRY DDS PLLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.