Leslie Dental Associates – Dentist in Leslie, MI

Key facts

NPI: 1467599258
Entity type: Organization (NPI type 2)
Primary specialty: Dentist 122300000X
License: 2901015968 (MI)
Legal business name: LESLIE DENTAL ASSOCIATES
Practice address: 159 S Main
Leslie, MI 49251
Phone: (517) 589-5995
Fax: (517) 589-5154
NPI assigned: Jan 31, 2007
Organization subpart: No

Authorized official

Name: Mr. Robert Joseph Mondragon, DDS NPI 1740481167
Title: Doctor
Phone: (517) 589-5995

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Robert Joseph Mondragon, D.D.S. Dentist · Leslie, MI · NPI 1740481167

NPD (past) Authorized official DENTIST

National Provider Directory

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Dentist Group: 193400000X SINGLE SPECIALTY GROUP	122300000X	2901015968	MI	Yes

Addresses

Primary practice location

159 S Main
Leslie, MI 49251

Mailing address

PO Box 596
159 S Main
Leslie, MI 49251
Phone (517) 589-5995

Other providers in Leslie, MI

All providers in Leslie, MI · Dentist in Michigan

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.