John L Lesneski, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

19332 Issued in MI

Practice address

508 W Lake St
Tawas City, MI 48763-5106

Phone

(989) 362-6159

Fax

(989) 362-6798

NPI assigned

Jan 17, 2007

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468195200000",
    "number": "1750433165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 W. LAKE STREET",
            "address_2": "P.O. BOX 387",
            "city": "TAWAS CITY",
            "state": "MI",
            "postal_code": "487640387",
            "telephone_number": "989-362-6159",
            "fax_number": "989-362-6798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 W LAKE ST",
            "city": "TAWAS CITY",
            "state": "MI",
            "postal_code": "487635106",
            "telephone_number": "989-362-6159",
            "fax_number": "989-362-6798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESNESKI",
        "first_name": "JOHN",
        "middle_name": "L",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2016-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "19332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Tawas City, MI
• Providers in Tawas City, 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 Jul 11, 2016; 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.