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Dr. Jason L Lemoine, DDS
Oral and Maxillofacial Surgery (Dentist) in Green Bay, Wisconsin
NPI 1356355424

Jason L Lemoine is a Oral and Maxillofacial Surgery (Dentist) based in Green Bay, WI and is specialized in Oral and Maxillofacial Surgery. Jason L Lemoine practices in Green Bay, WI and has the professional credentials of DDS. The NPI Number for Jason L Lemoine is 1356355424 and holds a License No. 4947-015 (Wisconsin).

The current practice location address for Jason L Lemoine is 2353 S Ridge Rd, Green Bay, WI and can be reached out via phone at 920-499-0471 and via fax at 920-499-8312.

Location: 2353 S Ridge Rd, Green Bay, WI, 54304-5069
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356355424
Provider Name
Jason L Lemoine
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
2353 S Ridge Rd, Green Bay, WI, 54304-5069
Phone Number
920-499-0471
Fax Number
920-499-8312
Provider Enumeration Date
07/27/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2353 S Ridge Rd
City
Green Bay
State
Wisconsin
Zip
54304-5069
Phone Number
920-499-0471
Fax Number
920-499-8312
person
Provider Business Mailing Address Details
Address
2353 S Ridge Rd
City
Green Bay
State
Wisconsin
Zip
54304-5069
Phone Number
920-499-0471
Fax Number
920-499-8312
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
4947-015 (Wisconsin)
Definition
The specialty of dentistry which includes 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.
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