Provider Demographics
NPI:1619059920
Name:LEMLER, JEFFREY RICHARD (DDS)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:RICHARD
Last Name:LEMLER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 E 53RD ST
Mailing Address - Street 2:25TH FL.
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-5244
Mailing Address - Country:US
Mailing Address - Phone:212-983-1080
Mailing Address - Fax:212-922-9232
Practice Address - Street 1:10 E 53RD ST
Practice Address - Street 2:25TH FL.
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-5244
Practice Address - Country:US
Practice Address - Phone:212-983-1080
Practice Address - Fax:212-922-9232
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY035157-11223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics