Michael Lysonski Dds Llc is a Dental Clinic in Edgewood, New Mexico. It is located at 1917 Old Us 66, Suite B-c-d1, Edgewood, NM and its contact number is 262-391-6179. The authorized person for Michael Lysonski Dds Llc is Dr. Michael Lysonski
who is Dr. of the clinic and their contact number is 262-391-6179.
Michael Lysonski Dds Llc Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Michael Lysonski Dds Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Michael Lysonski Dds Llc |
| Specialization: | General Practice Dentistry |
| Clinic Address: | 1917 Old Us 66, Suite B-c-d1, Edgewood,
New Mexico, 87015-6799 |
| Phone: | 262-391-6179 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Michael Lysonski |
| Position: | Dr. |
| Contact Number: | 262-391-6179 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Michael Lysonski Dds Llc clinic are as mentioned below.
| NPI Number: | 1427513902 |
| NPI Enumeration Date: | 08 Feb, 2019 |
| NPI Last Update On: | 07 Mar, 2023 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Michael Lysonski Dds Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| General Practice | | | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 17933030 | Medicaid | New Mexico | |
| DD4113 | Other | New Mexico | Nm Dental License |
| 03-426588-00-0 | Other | New Mexico | Nmcrs |
| CS00220539 | Other | New Mexico | Nm Controlled Substance |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Michael Lysonski Dds Llc
1520 La Tuna Pl Se,
Albuquerque, New Mexico |
| Zip: | 87123-4412 |
| Phone Number: | 262-391-6179 |
Patients can reach Michael Lysonski Dds Llc at
1917 Old Us 66, Suite B-c-d1, Edgewood, New Mexico or can
call to book an appointment on 262-391-6179.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.