Healthcare Provider Details

I. General information

NPI: 1700729068
Provider Name (Legal Business Name): MJL DENTAL P.C
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/13/2026
Last Update Date: 04/13/2026
Certification Date: 04/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

96 PLAINFIELD AVE
EDISON NJ
08817-3712
US

IV. Provider business mailing address

96 PLAINFIELD AVE
EDISON NJ
08817-3712
US

V. Phone/Fax

Practice location:
  • Phone: 732-985-1120
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL JOHN LESNIANSKI
Title or Position: CEO
Credential: DDS
Phone: 732-985-1120