NPIMap

Organization Active NPI

Laurence R. Mester, Jr., D.D.S. & Associates II, P.a.

  • General Practice Dentistry
  • Fayetteville, NC
National Provider Identifier
1316294762
Registry record updated Dec 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8008 Issued in NC
Legal business name
LAURENCE R. MESTER, JR., D.D.S. & ASSOCIATES II, P.A.
Practice address
124 Baywood Rd
Suite 100
Fayetteville, NC 28312-8702
Phone
(910) 829-0220
Fax
(919) 498-0519
NPI assigned
Aug 3, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2016

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

Authorized official

Name
Dr. Laurence Robert Mester Jr., D.D.S.NPI 1487623138
Title
Dentist/Owner
Phone
(910) 723-1195

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 8008 NC Primary

Addresses

Primary practice location

124 Baywood Rd
Suite 100
Fayetteville, NC 28312-8702

Mailing address

468 NC 24-87
Cameron, NC 28326-6808
Phone (910) 723-1195

Other identifiers 1

IdentifierTypeStateIssuer
5920796MedicaidNC

Other names 1

  • Baywood Family Dental Doing business as

National Provider Directory

National Provider Directory

Locations

124 Baywood Rd
Ste 100
Fayetteville, NC 28312
Phone (910) 829-0220

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1343952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480896000000",
    "number": "1316294762",
    "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": "910-723-1195",
            "fax_number": "919-498-0519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 BAYWOOD RD",
            "address_2": "SUITE 100",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283128702",
            "telephone_number": "910-829-0220",
            "fax_number": "919-498-0519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURENCE R. MESTER, JR., D.D.S. & ASSOCIATES II, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-03",
        "last_updated": "2016-12-05",
        "status": "A",
        "authorized_official_last_name": "MESTER",
        "authorized_official_first_name": "LAURENCE",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "910-723-1195",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "8008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5920796",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baywood 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 Dec 5, 2016; 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.