Provider Demographics
NPI:1740331685
Name:LEMCHEN, MARC S (DMD)
Entity type:Individual
Prefix:
First Name:MARC
Middle Name:S
Last Name:LEMCHEN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:553 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-8108
Mailing Address - Country:US
Mailing Address - Phone:212-755-2333
Mailing Address - Fax:212-935-0352
Practice Address - Street 1:553 PARK AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-8108
Practice Address - Country:US
Practice Address - Phone:212-755-2333
Practice Address - Fax:212-935-0352
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY02874811223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics