Michael Lysonski Dds Llc - Dental Clinic in Edgewood, NM

Michael Lysonski Dds Llc is a dental clinic (Dentist - General Practice) in Edgewood, New Mexico. The current practice location for Michael Lysonski Dds Llc is 1917 Old Us 66, Suite B-c-d1, Edgewood, New Mexico. For appointments, you can reach them via phone at (262) 391-6179. The mailing address for Michael Lysonski Dds Llc is 1520 La Tuna Pl Se, Albuquerque, New Mexico and phone number is (262) 391-6179.

Michael Lysonski Dds Llc is licensed to practice in * (Not Available) (license number ) and its NPI number is 1427513902. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (262) 391-6179.

Contact Information

Michael Lysonski Dds Llc
1917 Old Us 66
Suite B-c-d1
Edgewood
NM 87015-6799
(262) 391-6179
Not Available

Dental Care Clinic Profile

Full NameMichael Lysonski Dds Llc
SpecialityDentist - General Practice
Location1917 Old Us 66, Edgewood, New Mexico
Authorized Official Name and PositionMichael Lysonski (DR.)
Authorized Official Contact2623916179
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Michael Lysonski Dds Llc
1520 La Tuna Pl Se
Albuquerque
NM 87123-4412

Ph: (262) 391-6179
Michael Lysonski Dds Llc
1917 Old Us 66
Suite B-c-d1
Edgewood
NM 87015-6799

Ph: (262) 391-6179

NPI Details:

NPI Number1427513902
Provider Enumeration Date02/08/2019
Last Update Date03/07/2023

Medical Identifiers

Medical identifiers for Michael Lysonski Dds Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1427513902NPI-NPPES
17933030MedicaidNM
DD4113OtherNMNM DENTAL LICENSE
03-426588-00-0OtherNMNMCRS
CS00220539OtherNMNM CONTROLLED SUBSTANCE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice (* (Not Available))Primary

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Dental Clinics in Edgewood, NM

Edgewood Family Dentistry
Dental Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1917 Old Highway 66, Edgewood, NM 87015
Phone: 505-281-0373    Fax: 505-281-0373
Zachcurriedds Llc
Dental Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1851 Old Us 66 Ste C, Edgewood, NM 87015
Phone: 505-281-0373    

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