Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Timothy Jason Lemoine, DDS

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1093394777

Dr. Timothy Jason Lemoine, DDS is an Oral and Maxillofacial Surgery (Dentist) in Green Bay, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2021
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

2353 S Ridge Rd
Green Bay, WI 54304-5069
Phone: (920) 499-0471
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 1002550-15 (WI)

Record details

NPI number1093394777
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedApril 7, 2021
Last updated in NPPESJune 19, 2025
Certification dateJune 19, 2025

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