| Baywood Family Dental | |
|
124 Baywood Rd Suite 100 Fayetteville NC 28312-8702 | |
| (910) 829-0220 | |
| (919) 498-0519 |
| Full Name | Baywood Family Dental |
|---|---|
| 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 |
|---|---|
| Baywood Family Dental 468 Nc 24-87 Cameron NC 28326-6808 Ph: (910) 723-1195 | Baywood Family Dental 124 Baywood Rd Suite 100 Fayetteville NC 28312-8702 Ph: (910) 829-0220 |
| NPI Number | 1316294762 |
|---|---|
| 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 |
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