Sanjot Lehal, DDS MD

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

2901020979 Issued in MI

Practice address

4250 Pontiac Lake Rd
Waterford, MI 48328-1281

Phone

(248) 674-0303

Fax

(248) 674-2947

NPI assigned

Jun 8, 2011

Last updated

Nov 29, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Mar 25, 2025 through Mar 25, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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

• Bloomfield Oral & Maxillofacial Surgery PLLC

  dba Bloomfield Oral Surgery

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Bloomfield Hills, MI
  • NPI 1427835792
  NPD (past)

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

{
    "created_epoch": "1307491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638144000000",
    "number": "1386938132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11525 HIGHLAND RD",
            "address_2": "SUITE 23",
            "city": "HARTLAND",
            "state": "MI",
            "postal_code": "483532726",
            "telephone_number": "810-632-0303",
            "fax_number": "810-632-7305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4250 PONTIAC LAKE RD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483281281",
            "telephone_number": "248-674-0303",
            "fax_number": "248-674-2947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEHAL",
        "first_name": "SANJOT",
        "name_prefix": "Dr.",
        "credential": "DDS MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-08",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "MI",
            "license": "2901020979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan B Leclair, RDH, BS
• Adrianna Denae Lee
• Esther Lenora Lee, LLC
• Legacy Dermatology Group PC (Legacy Dermatology Group)
• Michelle Sue Legacy, DO
• Joel K Leib, DO
• Rosalind Leiser, M.A. CCC-A
• Dolores Elaine Lemkau I, LMSW CAC-1
• Charlene Yvonne Leonardi, M.P.T.
• Karen Leoncio, OT

• Oral & Maxillofacial Surgery (D.M.D.) in Waterford, MI
• Providers in Waterford, MI by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.