Vredenburg-Leslie Dentistry PLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901016925 Issued in MI

Legal business name

VREDENBURG-LESLIE DENTISTRY PLC

Doing business as

Leslie Family Dentistry

Practice address

126 N Main St
Leslie, MI 49251-9426

Phone

(517) 589-5400

NPI assigned

May 5, 2009

Last updated

May 5, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Martin Vredenburg

Title

President

Phone

(517) 589-5400

Specialties & licenses 1

Addresses

Other names 1

• Leslie Family Dentistry Doing business as

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

{
    "created_epoch": "1241481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241481600000",
    "number": "1306070495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 N MAIN ST",
            "city": "LESLIE",
            "state": "MI",
            "postal_code": "492519426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 N MAIN ST",
            "city": "LESLIE",
            "state": "MI",
            "postal_code": "492519426",
            "telephone_number": "517-589-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VREDENBURG-LESLIE DENTISTRY PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-05",
        "last_updated": "2009-05-05",
        "status": "A",
        "authorized_official_last_name": "VREDENBURG",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "517-589-5400",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901016925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Leslie Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stanley J Sczecienski, D.O.
• Marie Dawn Slisher, PA
• Desiree Lynette Smith, ATC
• Melissa Suco
• Total Wellness Urgent Care PLLC
• W. a. Foote Memorial Hospital, Inc. (Henry Ford Allegiance Health)
• Samantha Lynn Wetoskey, NP-C
• Micah Wiegand

• General Practice Dentistry in Leslie, MI
• Providers in Leslie, 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 May 5, 2009; 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.