Individual
JESSE LEMOINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2797 SAINT JOHNS BLUFF RD S, JACKSONVILLE, FL 32246-3703
(904) 641-3777
Mailing address
200 RIVERSIDE AVE UNIT 537, JACKSONVILLE, FL 32202-4986
(508) 315-2206
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
04820
NH
1223P0300X
Periodontics
34457
TX
1223P0300X
Periodontics
DN1858014
MA
1223P0300X
Periodontics
Primary
DN23717
FL
Other
Enumeration date
06/15/2015
Last updated
08/27/2024
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