Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Michael Lysonski DDS LLC

General Practice Dentistry in Edgewood, NM · enumerated 2019 · authorized official Michael Lysonski, Dr..

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1427513902

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Registry record

Entity type Organization (Type 2)

Legal business name Michael Lysonski DDS LLC

Practice address 1917 Old Us 66, Suite B-C-D1, Edgewood, NM, 87015

Phone (262) 391-6179

Enumeration date Feb 8, 2019

Last updated in NPPES Mar 7, 2023

Taxonomy & classification

1223G0001X General Practice Dentistry Dental Providers Primary

Authorized official

Name Michael Lysonski

Title Dr.

Phone (262) 391-6179

Other identifiers

Identifier	Type	State	Issuer
17933030	Medicaid	NM	-
DD4113	Other	NM	NM DENTAL LICENSE
03-426588-00-0	Other	NM	NMCRS
CS00220539	Other	NM	NM CONTROLLED SUBSTANCE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Michael Lysonski DDS LLC located?

The practice location on file with NPPES is in Edgewood, NM.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2023-03-07. Verify at npiregistry.cms.hhs.gov.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-03-07.