Healthcare Provider Details

I. General information

NPI: 1831906015
Provider Name (Legal Business Name): HVL DENTISTRY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/12/2024
Last Update Date: 12/12/2024
Certification Date: 12/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8142 SHIN OAK DR STE 100
LIVE OAK TX
78233-2775
US

IV. Provider business mailing address

8142 SHIN OAK DR STE 100
LIVE OAK TX
78233-2775
US

V. Phone/Fax

Practice location:
  • Phone: 210-764-3008
  • Fax:
Mailing address:
  • Phone: 702-501-6882
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. HA VY LE
Title or Position: DENTIST/ OWNER
Credential: DMD
Phone: 702-501-6882