# JOHN L LESNESKI DDS PLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003115031
- **Authorized official:** JOHN L LESNESKI DDS (OWNER)
- **Authorized official phone:** (989) 362-6159

## Contact information

- **Practice address:** 508 W LAKE ST, TAWAS CITY, MI 48763-5106
- **Practice address phone:** (989) 362-6159
- **Practice address fax:** (989) 362-6798
- **Mailing address:** P.O. BOX 387, 508 W. LAKE STREET, TAWAS CITY, MI 48764-0387
- **Mailing address phone:** (989) 362-6159
- **Mailing address fax:** (989) 362-6798

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 19332 | MI | Yes |

## Other

- **Enumeration date:** 03/16/2011
- **Last updated:** 03/16/2011