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NPI Code Detail

MEDICARE: LEMOINE DENTAL GROUP, LLC

MEDICARE: LEMOINE DENTAL GROUP, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry22DI01891300NJ
21223G0001XGeneral Practice Dentistry22DI01587400NJ
31223P0300XPeriodontics22DI01895200NJ

General Provider Information

NPI Number : 1851510614
Entity Type Code : Organization
Provider Name (Legal Business Name) : LEMOINE DENTAL GROUP, LLC
Provider Business Mailing Address
First Line : 2460 LEMOINE AVE
Second Line : SUITE #101
City : FORT LEE
State : NJ
Zip : 07024-6231
Country : US
Telephone Number : 201-947-3777
Fax Number : 201-947-3710
Provider Business Practice Location Address
First Line : 2460 LEMOINE AVE
Second Line : SUITE #101
City : FORT LEE
State : NJ
Zip : 07024-6231
Country : US
Telephone Number : 201-947-3777
Fax Number : 201-947-3710
Authorized Official
Title or Position : PARTNER
Name : DR. STEPHEN HUNG
Credential : DDS
Telephone Number : 201-947-3777
Provider Enumeration Date : 04/24/2007
Last Update Date : 09/11/2025

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Directions to “LEMOINE DENTAL GROUP, LLC ” Practice Location

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