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124 Baywood Rd Suite 100 Fayetteville NC 28312-8702 | |
(910) 829-0220 | |
(919) 498-0519 |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 124 Baywood Rd, Fayetteville, North Carolina |
Authorized Official Name and Position | Laurence Robert Mester (DENTIST/OWNER) |
Authorized Official Contact | 9107231195 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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468 Nc 24-87 Cameron NC 28326-6808 Ph: (910) 723-1195 | 124 Baywood Rd Suite 100 Fayetteville NC 28312-8702 Ph: (910) 829-0220 |
NPI Number | 1316294762 |
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Provider Enumeration Date | 08/03/2012 |
Last Update Date | 12/05/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316294762 | NPI | - | NPPES |
5920796 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 8008 (North Carolina) | Primary |
Knowles, Smith & Associates, Llp Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2409 Robeson St, Fayetteville, NC 28305 Phone: 910-483-9546 | |