Healthcare Provider Details

I. General information

NPI: 1427981448
Provider Name (Legal Business Name): CHAU LE DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

128 HERLONG AVE S STE 102
ROCK HILL SC
29732-1156
US

IV. Provider business mailing address

128 HERLONG AVE S STE 102
ROCK HILL SC
29732-1156
US

V. Phone/Fax

Practice location:
  • Phone: 803-410-5499
  • Fax: 803-828-7422
Mailing address:
  • Phone: 803-410-5499
  • Fax: 803-828-7422

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number11448
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: