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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.