Provider Demographics
NPI:1023244209
Name:LASTER, WILLIAM STEWART (DDS, MS)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:STEWART
Last Name:LASTER
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7700 FALLS OF NEUSE RD
Mailing Address - Street 2:SUITE 190
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27615-3354
Mailing Address - Country:US
Mailing Address - Phone:919-676-0541
Mailing Address - Fax:919-676-0953
Practice Address - Street 1:7700 FALLS OF NEUSE RD
Practice Address - Street 2:SUITE 190
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27615-3354
Practice Address - Country:US
Practice Address - Phone:919-676-0541
Practice Address - Fax:919-676-0953
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-02
Last Update Date:2009-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC73731223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics