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

Justine Sherylyn Moe, MD, DDS

Individual provider Surgery Physician · NPI 1104143833

Justine Sherylyn Moe, MD, DDS is a Maxillofacial Surgery in Okemos, Michigan. Graduated from Emory University School of Medicine in 2017, 9 years ago. Practices with Oral Surgery Associates of Lansing PC, a 5-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
9
Trained at
Emory University School of Medicine
Licensed in
MI
In the registry since
2010
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

4201 Okemos Rd
Okemos, MI 48864-3200
Phone: (517) 349-8383
Fax: (517) 349-5566
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 4500 Cascade Rd Se Ste 208, Grand Rapids, MI 49546-3665 — (616) 977-5000
  • 2240 S State Rd, Ionia, MI 48846-2149 — (616) 523-9000
  • 5238 W St Joe Hwy Ste 2, Lansing, MI 48917-4085 — (517) 323-1000

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 4301111526 (MI)
Surgery Physician Taxonomy 208600000X · Licence 4301111526 (MI)
Dentist Taxonomy 122300000X · Licence 4301111526 (MI)
Oral & Maxillofacial Surgery (D.M.D.) Taxonomy 204E00000X · Licence 4301111526 (MI)

Record details

NPI number1104143833
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD , DDS
Sole proprietorNo
NPI enumeratedApril 20, 2010
Last updated in NPPESAugust 26, 2024
Certification dateAugust 26, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMAXILLOFACIAL SURGERY
Also practisesDENTIST, GENERAL SURGERY, ORAL SURGERY
Medical schoolEMORY UNIVERSITY SCHOOL OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice Oral Surgery Associates Of Lansing Pc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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