Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JUSTINE SHERYLYN MOE, MD, DDS
ActiveJUSTINE SHERYLYN MOE, MD, DDS is a Oral & Maxillofacial Surgery healthcare provider located in OKEMOS, Michigan. NPI 1104143833 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · OKEMOS, MI
Registration Details
- NPI Number
- 1104143833
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 20, 2010 (16.358616548573 yrs)
- Last Updated
- Aug 26, 2024
- Licenses
-
4301111526 (MI)4301111526 (MI)4301111526 (MI)4301111526 (MI)
Practice Information
- Address
-
4201 OKEMOS RDOKEMOS, MI, 488643200Browse MI providers · Browse ZIP 48864
- Phone
- 5173498383
- Fax
- 5173495566
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
- Additional Specialty
- Dentist
- Additional Specialty
- Oral & Maxillofacial Surgery
- Additional Specialty
- Oral & Maxillofacial Surgery (Physician)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.