Robert J Lesny, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

2108 Issued in VT

Practice address

310 Fisher Rd
Suite 1
Berlin, VT 05602-9162

Phone

(877) 868-2364

Fax

(802) 229-0166

NPI assigned

Feb 8, 2006

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

Other identifiers 1

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Oct 1, 2016 through Oct 1, 2026

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.

• Northern Vermont Oral & Facial Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Berlin, VT
  • NPI 1710950092
  NPD (past)

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377561600000",
    "number": "1699748962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 FISHER RD",
            "address_2": "SUITE 1",
            "city": "BERLIN",
            "state": "VT",
            "postal_code": "056029162",
            "telephone_number": "877-868-2364",
            "fax_number": "802-229-0166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 FISHER RD",
            "address_2": "SUITE 1",
            "city": "BERLIN",
            "state": "VT",
            "postal_code": "056029162",
            "telephone_number": "877-868-2364",
            "fax_number": "802-229-0166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESNY",
        "first_name": "ROBERT",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2013-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "VT",
            "license": "2108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007925",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Louis Lecours, MD
• Brooke Lefebvre
• Richard J. Leidinger, M.D.
• Mark A Leipert, O.D.
• Derrick Alan Lemnah
• Mary Letourneau, RN,BSN,IBCLC
• Lee Daniel Levitt, MA
• Derek A. Lewis, MED
• Jessie L Leyse, MD
• Richard Libby, R.PH.

• Oral and Maxillofacial Surgery (Dentist) in Berlin, VT
• Providers in Berlin, VT by specialty
• Oral and Maxillofacial Surgery (Dentist) in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2013; 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.