Jesse Lemoine
Oral and Maxillofacial Surgeon
1353 Dorchester Ave
Dorchester
, Massachusetts 02122-2932
Jesse Lemoine
Oral and Maxillofacial Surgeon
1353 Dorchester Ave
Dorchester
, Massachusetts 02122-2932
(617) 288-3230
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Jesse Lemoine
- 1353 Dorchester Ave
- Dorchester, MA
- Zip : 02122-2932
- Phone : (617) 288-3230
Second Address
- Jesse Lemoine
- 1353 Dorchester Ave
- Dorchester, MA
- Zip : 02122-2932
- Phone : (617) 288-3230
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223S0112X | Oral and Maxillofacial Surgeon | DL12570 | MA |
National Provider Identifier
| NPI | 1104207299 |
|---|---|
| Provider Name | Jesse Lemoine |
| First Address | Dorchester, MA 02122-2932 |
| Second Address | Dorchester, MA 02122-2932 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/06/2015 |
| Last Update Date | 15/06/2015 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.