Healthcare Provider Details

I. General information

NPI: 1134483837
Provider Name (Legal Business Name): ARLENE PIMENTEL LEMOINE D.M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ARLENE PIMENTEL LEMOINE D.M.D.

II. Dates (important events)

Enumeration Date: 06/27/2012
Last Update Date: 12/06/2024
Certification Date: 12/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21 MAIN ST 2ND FLOOR
MILFORD MA
01757-2634
US

IV. Provider business mailing address

38 PRINCETON DR
MILFORD MA
01757-1848
US

V. Phone/Fax

Practice location:
  • Phone: 508-478-1555
  • Fax:
Mailing address:
  • Phone: 508-686-6595
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDN1855974
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License NumberDN1855974
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: