Individual
DR. JOSEPH LEMUEL DE LEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1869 BRENTWOOD RD, BRENTWOOD, NY 11717-4625
(631) 416-5480
(631) 994-2900
Mailing address
PO BOX 5036, WHITE PLAINS, NY 10602-5036
(924) 898-9421
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
060985
NY
122300000X
Dentist
DN1857105
MA
1223G0001X
General Practice Dentistry
9813
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06551766
—
NY
Enumeration date
11/12/2008
Last updated
05/07/2025
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