Individual
DR. TIMOTHY JASON LEMOINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2353 S RIDGE RD, GREEN BAY, WI 54304-5069
(920) 499-0471
Mailing address
2353 S RIDGE RD, GREEN BAY, WI 54304-5069
(920) 499-0471
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
1002550-15
WI
Other
Enumeration date
04/07/2021
Last updated
06/19/2025
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