Provider Demographics
NPI:1568639433
Name:LESNESKI, ROBERT C (DDS)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:C
Last Name:LESNESKI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5417 GATEWAY CENTRE BLVD.
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48507-3980
Mailing Address - Country:US
Mailing Address - Phone:810-424-0705
Mailing Address - Fax:810-424-0750
Practice Address - Street 1:5417 GATEWAY CTR
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48507-3980
Practice Address - Country:US
Practice Address - Phone:810-424-0705
Practice Address - Fax:810-424-0750
Is Sole Proprietor?:No
Enumeration Date:2008-05-10
Last Update Date:2020-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0372651223S0112X
MI29010196581223S0112X
WI63341223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery