Organization Active NPI

Laurence R Mester Jr DDS and Associates III PA

  • General Practice Dentistry
  • Fayetteville, NC
National Provider Identifier
1295496495
Registry record updated Jan 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
LAURENCE R MESTER JR DDS AND ASSOCIATES III PA
Practice address
3218 Bragg Blvd
Fayetteville, NC 28303
Phone
(916) 633-1306
NPI assigned
Jan 10, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2022

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

Authorized official

Name
Mrs. Jing Mester
Title
Treasurer
Phone
(916) 633-1306

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

3218 Bragg Blvd
Fayetteville, NC 28303

Mailing address

468 NC 24-87
Cameron, NC 28326-6808
Phone (919) 633-1306

Other names 1

  • Fayetteville Family Dental Doing business as

National Provider Directory

National Provider Directory

Locations

3218 Bragg Blvd
Fayetteville, NC 28303
Phone (910) 302-8888

NPI Registry JSON

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

{
    "created_epoch": "1641772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641772800000",
    "number": "1295496495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "468 NC 24-87",
            "city": "CAMERON",
            "state": "NC",
            "postal_code": "283266808",
            "telephone_number": "919-633-1306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3218 BRAGG BLVD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "28303",
            "telephone_number": "916-633-1306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURENCE R MESTER JR DDS AND ASSOCIATES III PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-10",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-06",
        "status": "A",
        "authorized_official_last_name": "MESTER",
        "authorized_official_first_name": "JING",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "916-633-1306",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fayetteville Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2022; 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.