Robert C. Lesneski, D.D.S.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

2901019658 Issued in MI

Practice address

5417 Gateway Ctr
Flint, MI 48507-3980

Phone

(810) 424-0705

Fax

(810) 424-0750

NPI assigned

May 10, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective May 1, 2025 through May 1, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Gmos Oral Surgery, PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Flint, MI
  • NPI 1194675223
  Authorized official Same address or phone

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

{
    "created_epoch": "1210377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595203200000",
    "number": "1568639433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5417 GATEWAY CENTRE BLVD.",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485073980",
            "telephone_number": "810-424-0705",
            "fax_number": "810-424-0750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5417 GATEWAY CTR",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485073980",
            "telephone_number": "810-424-0705",
            "fax_number": "810-424-0750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESNESKI",
        "first_name": "ROBERT",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-10",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PA",
            "license": "DS037265",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MI",
            "license": "2901019658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Breanna J Lepage, PA
• Brenda Sue Lepisto, PSY.D.
• Ana Lerma, LBSW
• Theresa Lerma
• Danielle Lesko
• Hollie Charvone Lesperance
• Avalena Ann Lessard
• Leslie Mariah Lester-Poore
• Melvin Kenneth Lester
• Steven Lester, BS, CMHP, QMHP

• Oral and Maxillofacial Surgery (Dentist) in Flint, MI
• Providers in Flint, MI by specialty
• Oral and Maxillofacial Surgery (Dentist) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.