Individual provider · Type 1 NPI

Timothy Jason Lemoine, DDS

Oral and Maxillofacial Surgery (Dentist) · Green Bay, WI

NPI number 1093394777 Active

Practice location

2353 S Ridge Rd
Green Bay, WI 54304-5069

Call (920) 499-0471 Map

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X1002550-15 (WI)

Oral and Maxillofacial Surgery (Dentist): 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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About NPI 1093394777

Timothy Jason Lemoine, DDS's National Provider Identifier is 1093394777, issued on Apr 7, 2021. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Green Bay, WI. The record was last updated on Jun 19, 2025.