MEDICARE: DR. CHAU LE DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	11448	SC

General Provider Information

NPI Number	:	1427981448
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHAU LE DDS

Provider Business Mailing Address
First Line	:	2089 PARKWAY DR STE 102
Second Line	:
City	:	INDIAN LAND
State	:	SC
Zip	:	29707-8089
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2089 PARKWAY DR STE 102
Second Line	:
City	:	INDIAN LAND
State	:	SC
Zip	:	29707-8089
Country	:	US
Telephone Number	:	803-829-0119
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/08/2026
Last Update Date	:	06/08/2026

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Directions to “ DR. CHAU LE DDS” Practice Location

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