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General NPI Number Information
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NPI Number | 1194675223
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Entity Type | Organization
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Legal Business Name | GMOS ORAL SURGERY, PC
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Dates
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Enumeration Date | 01/29/2026
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Last Update Date | 01/29/2026
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Provider Practice Location Address
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Address Line | 5417 GATEWAY CTR
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City | FLINT
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State | MI
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Zip | 48507-3980
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Country | US
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Telephone | 810-424-0705
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Fax |
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Provider Business Mailing Address
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Address Line | 5417 GATEWAY CTR
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City | FLINT
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State | MI
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Zip | 48507-3980
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Country | US
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Telephone | 810-424-0705
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Fax | 810-424-0750
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Authorized Official
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Title or Position | DOCTOR/CEO
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Name | DR. ROBERT C. LESNESKI
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Credential | DDS
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Telephone | 989-892-9341
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number |
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License Number State |
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