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General NPI Number Information
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NPI Number | 1871604389
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Entity Type | Individual
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Provider Name | DAVID JACK LESANSKY D.M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 12/16/2025
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Provider Practice Location Address
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Address Line | 8401 UNIVERSITY EXEC PARK DR STE 110
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City | CHARLOTTE
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State | NC
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Zip | 28262-1360
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Country | US
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Telephone | 704-547-1970
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Fax |
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Provider Business Mailing Address
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Address Line | 90 CYPRESS WAY E #20
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City | NAPLES
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State | FL
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Zip | 34110-9275
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 8903
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License Number State | NC
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