Leslie Robyn Mullinger, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

013253 Issued in MI

Practice address

23800 Greater Mack Ave
Saint Clair Shores, MI 48080-1406

Phone

(586) 775-6320

NPI assigned

Aug 16, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• E&N Greater Mack Practices PLLC

  • Dental Clinic/Center
  • Saint Clair Shores, MI
  • NPI 1639918147
  NPD (past)
• E&N Greater Mack Practices PLLC

  • Dental Clinic/Center
  • Saint Clair Shores, MI
  • NPI 1801637111
  NPD (past)

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043323769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23800 GREATER MACK AVE",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480801406",
            "telephone_number": "586-775-6320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23800 GREATER MACK AVE",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480801406",
            "telephone_number": "586-775-6320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLINGER",
        "first_name": "LESLIE",
        "middle_name": "ROBYN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "013253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Rushton Motycka, DPT
• Kendra Helene Motyl, M.D.
• Kathleen Mousseau, LPC
• Julie Anna Mrozek, D.P.M.
• Daric Alexander Mueller, PA-C
• Sarah Ann Mullins, OTR/L, CSRS
• Steven V. Mulrenin, PA-C
• Sunil Kumar Mungara, MD
• Julie Therese Munson, PT,ATC, CSCS
• Samantha Muraeky

• General Practice Dentistry in Saint Clair Shores, MI
• Providers in Saint Clair Shores, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.