MEDICARE: DENISE LE DMD

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	122300000X	Dentist	DN28201	FL
2	122300000X	Dentist	42040	TX

General Provider Information

NPI Number	:	1447942214
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DENISE LE DMD

Provider Business Mailing Address
First Line	:	1215 ARKANSAS LN STE 100
Second Line	:
City	:	GRAND PRAIRIE
State	:	TX
Zip	:	75052-7374
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1215 ARKANSAS LN STE 100
Second Line	:
City	:	GRAND PRAIRIE
State	:	TX
Zip	:	75052-7374
Country	:	US
Telephone Number	:	469-701-2344
Fax Number	:

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

Provider Enumeration Date	:	05/22/2023
Last Update Date	:	11/10/2025

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Directions to “ DENISE LE DMD” Practice Location

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