DR. TERRI ANN EUBANKS (NPI# 1306960737) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306960737 |
| Entity Type | Individual |
| Full Name | DR. TERRI ANN EUBANKS |
| Credential | DDS |
| Practice Address |
300 S School St Dermott AR 71638-2127 |
| Practice Telephone | 8705389720 |
| Practice Fax Number | 8705389710 |
| Mailing Telephone | 8705389720 |
| Mailing Fax Number | 8705389710 |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2013-01-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
2854 | AR | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | BCBS OF TENN | 4025414 | 01 |
| AR | UNITED CONCORDIA | 833311 | 01 |
| AR | DEA REGISTRATION | BE1457173 | 01 |
| AR | STATE LIC NUMBER | 2854 | 01 |
| AR | 114704608 | 05 | |
| AR | FED TAX ID | 710748470 | 01 |
| AR | ARBCBS PROVIDER # | 58142 | 01 |
| Street Address |
300 S SCHOOL ST |
| City | DERMOTT |
| State | AR |
| Zip Code | 71638-2127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386758043 | Mainline Health Systems Inc | Clinic/Center | 300 S School St, Dermott, AR 71638-2228 | 2006-08-19 |
| 1962044800 | Charlie J Gober | Nurse Practitioner | 300 S School St, Dermott, AR 71638-2127 | 2019-10-11 |
| 1710448535 | Clark N Roberts | Nurse Practitioner | 300 S School St, Dermott, AR 71638-2127 | 2019-03-26 |
| 1205315637 | Kimberly Weeks | Nurse Practitioner | 300 S School St, Dermott, AR 71638-2127 | 2018-08-07 |
| 1184102303 | William Joshua Hunter | Nurse Practitioner | 300 S School St, Dermott, AR 71638-2127 | 2018-07-31 |
| 1104361880 | Tiffany Wargo | Nurse Practitioner | 300 S School St, Dermott, AR 71638-2127 | 2017-01-04 |
| 1386026359 | Courtney Shay Johnson | Nurse Practitioner | 300 S School St, Dermott, AR 71638-2127 | 2015-06-25 |
| 1669886552 | Shenika Jackson-king | Nurse Practitioner | 300 S School St, Dermott, AR 71638-2127 | 2014-06-18 |
| 1821409996 | Crystal Little | Pediatrics | 300 S School St, Dermott, AR 71638-2127 | 2014-05-12 |
| 1659710879 | Dana Shea Phillips | Nurse Practitioner | 300 S School St, Dermott, AR 71638-2127 | 2013-06-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104251180 | Rebekah Ayecock | Nurse Practitioner | 300 South School St, Dermott, AR 71638 | 2013-09-09 |
| 1508198201 | Roger Alan Mason | Surgery | 300 South School St., Dermott, AR 71638 | 2010-02-04 |
| 1730219353 | Dermott Day Service Center, Inc. | Day Training, Developmentally Disabled Services | 817 North School Street, Dermott, AR 71638 | 2007-03-06 |
| 1134286750 | Dermott City Nursing Home | Skilled Nursing Facility | 702 West Gaines St., Dermott, AR 71638 | 2007-01-02 |
| 1861555005 | Dermott High School | Local Education Agency (LEA) | 525 East Speedway, Dermott, AR 71638 | 2006-12-19 |
| 1811095656 | Phillip W Pennington | Dentist | 300 S School, Dermott, AR 71638 | 2006-09-20 |
| 1669401501 | Mainline Health Systems, Inc | Clinic/Center | 134 South Strickland St, Dermott, AR 71638 | 2006-07-02 |
| 1982643409 | Jeffery Fenton Dunn Sr. | Pharmacist | 111 E Peddicord Street, Dermott, AR 71638 | 2006-06-06 |
| 1609298306 | Cb King Jm | Day Training, Developmentally Disabled Services | 1109 North School, Dermott, AR 71638-0000 | 2014-01-15 |
| 1780119610 | Medical Transport Management, Inc | Ambulance | 109 W Peddicord St, Dermott, AR 71638-2115 | 2017-04-28 |
| Find all providers in zip 71638 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003021692 | Gary Dalton | Dentist | 300 S School St, Dermott, AR 71638-2127 | 2007-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043826944 | Atlas Dental Partners Pllc | Dentist | 3903 W Financial Pkwy, Rogers, AR 72758-1471 | 2020-09-17 |
| 1669086724 | Epic Smiles Pllc | Dentist | 310 E Centerton Blvd, Centerton, AR 72719 | 2020-09-04 |
| 1063023554 | Christopher Marshall | Dentist | 1804 Old Greensboro Rd Bldg B, Jonesboro, AR 72405-0003 | 2020-08-10 |
| 1790394393 | Robert W Bassham Dds Pa | Dentist | 669 Addison Dr, Wynne, AR 72396-1602 | 2020-07-29 |
| 1215545710 | Justin Michael Cooper | Dentist | 5008 S U St Ste 101a, Fort Smith, AR 72903-3613 | 2020-07-21 |
| 1740898584 | Jamie Beavers Dds, P.a. | Dentist | 354 Main Street, Clinton, AR 72031 | 2020-07-17 |
| 1144848490 | Abbey Lynn Norwood | Dentist | 5501 W Pinnacle Pointe Dr Ste 1, Rogers, AR 72758-8133 | 2020-07-13 |
| 1093332728 | Michael Drake | Dentist | 9601 Baptist Health Dr Ste 104, Little Rock, AR 72205-6323 | 2020-06-29 |
| 1235753682 | Drew Bannerman Dds, P.a. | Dentist | 4603 Fairway Ave, North Little Rock, AR 72116-8052 | 2020-06-02 |
| 1669021564 | Steven Michael Clark | Dentist | 1700 University Blvd Ste 105, Morrilton, AR 72110-8004 | 2019-09-04 |
| Find all providers with the same taxonomy | ||||
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| 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.