Provider Demographics
NPI:1679799795
Name:LEMIRE, DONALD HENRY JR (DDS)
Entity Type:Individual
Prefix:MR
First Name:DONALD
Middle Name:HENRY
Last Name:LEMIRE
Suffix:JR
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:DONALD
Other - Middle Name:H
Other - Last Name:LEMIRE
Other - Suffix:JR
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:8899 TIMBER WILDE DR
Mailing Address - Street 2:SUITE 3
Mailing Address - City:BONITA SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:34135
Mailing Address - Country:US
Mailing Address - Phone:239-438-7725
Mailing Address - Fax:239-498-7630
Practice Address - Street 1:8899 TIMBERWILDE DR
Practice Address - Street 2:SUITE 3
Practice Address - City:BONITA SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:34135-7896
Practice Address - Country:US
Practice Address - Phone:239-498-7668
Practice Address - Fax:239-498-7630
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN 161861223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics