GMOS ORAL SURGERY PC NPI 1194675223

NPI Information

  • NPI: 1194675223
  • Provider Name: GMOS ORAL SURGERY, PC
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Organization
  • Address: 5417 GATEWAY CTR
    FLINT, MI
    ZIP 48507
  • Phone: (810) 424-0705

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NPI Details

GMOS ORAL SURGERY, PC is an oral and maxillofacial surgery dentist in Flint, MI. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. GMOS ORAL SURGERY, PC NPI is 1194675223. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5417 GATEWAY CTR
FLINT, MI
ZIP 48507-980
Phone: (810) 424-0705

The provider's authorized official is Robert C. Lesneski .
The authorized official title is Doctor/ceo and has the following contact phone number (989) 892-9341.

The enumeration date for this NPI number is 1/29/2026 and was last updated on 1/29/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223S0112XDentistOral and Maxillofacial SurgeryYes

What is NPI?

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This page was last updated on: 11/21/2025

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