Byrd, Meredith Gentry Lasater
Byrd, Meredith Gentry Lasater is an sole proprietor health care provider with primary practice located at 2800 Wakefield Pines Dr Ste 110 , Raleigh NC 27614-8597. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is her primary health care specialty. Byrd, Meredith Gentry Lasater can be contacted via phone (919) 488-0170.Contact Information
Primary practice address
2800 Wakefield Pines Dr Ste 110
Raleigh NC 27614-8597
Phone: (919) 488-0170
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 10107 | North Carolina |
| Dental Providers / Pediatric Dentistry | 1223P0221X | 10107 | North Carolina |
Profile Details
| NPI number | 1205213295 |
|---|---|
| LBN Legal business name | Byrd, Meredith Gentry Lasater |
| Credentials | DDS, MPH |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 29th, 2015 |
| Last updated | Oct 23rd, 2018 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205213295 | NPPES |
| North Carolina | MEDICAID | 1205213295 |
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