Healthcare Provider Details

I. General information

NPI: 1811688807
Provider Name (Legal Business Name): DAVID LE DENTISTRY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2023
Last Update Date: 12/28/2023
Certification Date: 12/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1570 S DAIRY ASHFORD RD STE 114
HOUSTON TX
77077-3862
US

IV. Provider business mailing address

1570 S DAIRY ASHFORD RD STE 114
HOUSTON TX
77077-3862
US

V. Phone/Fax

Practice location:
  • Phone: 281-293-7778
  • Fax: 281-293-7719
Mailing address:
  • Phone: 281-293-7778
  • Fax: 281-293-7719

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DAVID V. LE
Title or Position: PRESIDENT
Credential: DDS
Phone: 281-293-7778