Provider Demographics
NPI:1497802508
Name:MOLEE, LINDA JAYE (DMD)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:JAYE
Last Name:MOLEE
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:390 SCHANCK RD
Mailing Address - Street 2:
Mailing Address - City:FREEHOLD
Mailing Address - State:NJ
Mailing Address - Zip Code:07728-2937
Mailing Address - Country:US
Mailing Address - Phone:732-462-7385
Mailing Address - Fax:732-294-7742
Practice Address - Street 1:390 SCHANCK RD
Practice Address - Street 2:
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728-2937
Practice Address - Country:US
Practice Address - Phone:732-462-7385
Practice Address - Fax:732-294-7742
Is Sole Proprietor?:No
Enumeration Date:2007-01-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI156371223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice