Individual
DR. DOUGLAS STERLING FRY SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
2267
TN
1223P0221X
Pediatric Dentistry
Primary
3674
NC
1223P0221X
Pediatric Dentistry
5384
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8992924
—
NC
01
—
92924
BCBS
NC
Enumeration date
06/15/2005
Last updated
10/03/2016
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