Provider Demographics
NPI:1871797589
Name:LESKA, ANTHONY J (DMD)
Entity type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:J
Last Name:LESKA
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:99 TAUNTON RD
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:08055-9362
Mailing Address - Country:US
Mailing Address - Phone:609-654-7888
Mailing Address - Fax:609-654-2827
Practice Address - Street 1:99 TAUNTON RD
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:NJ
Practice Address - Zip Code:08055-9362
Practice Address - Country:US
Practice Address - Phone:609-654-7888
Practice Address - Fax:609-654-2827
Is Sole Proprietor?:No
Enumeration Date:2007-06-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ1221971223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice