Provider Demographics
NPI:1922017136
Name:LESNIAK, ROBERT FRANK (DMD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:FRANK
Last Name:LESNIAK
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:569 N BROADWAY
Mailing Address - Street 2:
Mailing Address - City:SARATOGA SPRINGS
Mailing Address - State:NY
Mailing Address - Zip Code:12866-1609
Mailing Address - Country:US
Mailing Address - Phone:518-584-9172
Mailing Address - Fax:518-581-8825
Practice Address - Street 1:569 N BROADWAY
Practice Address - Street 2:
Practice Address - City:SARATOGA SPRINGS
Practice Address - State:NY
Practice Address - Zip Code:12866-1609
Practice Address - Country:US
Practice Address - Phone:518-584-9172
Practice Address - Fax:518-581-8825
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYNY030372122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist