Healthcare Provider Details

I. General information

NPI: 1902737570
Provider Name (Legal Business Name): KATHY LE DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: THY LE

II. Dates (important events)

Enumeration Date: 05/25/2026
Last Update Date: 05/25/2026
Certification Date: 05/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1921 SHERIDAN BLVD UNIT F
EDGEWATER CO
80214-1315
US

IV. Provider business mailing address

6121 W EVANS PL
LAKEWOOD CO
80227-2502
US

V. Phone/Fax

Practice location:
  • Phone: 303-202-3550
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDEN.00206671
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: