MEDICARE: TU LE

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	DN1859538	MA
2	390200000X	Student in an Organized Health Care Education/Training Program
3	122300000X	Dentist	110029	CA

General Provider Information

NPI Number	:	1841933546
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TU LE

Provider Business Mailing Address
First Line	:	49 WORTHINGTON ST APT 35
Second Line	:
City	:	ROXBURY
State	:	MA
Zip	:	02120-1646
Country	:	US
Telephone Number	:	424-413-1939
Fax Number	:

Provider Business Practice Location Address
First Line	:	1623 SANTA CLARA DR STE 100
Second Line	:
City	:	ROSEVILLE
State	:	CA
Zip	:	95661-3589
Country	:	US
Telephone Number	:	424-413-1939
Fax Number	:

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

Provider Enumeration Date	:	04/19/2022
Last Update Date	:	08/01/2025

Similar Medicare Providers

1194619155 — TEERARAT NEAL PHUATRAKOON
Practice Location Address:

1623 SANTA CLARA DR STE 100
ROSEVILLE, CA
95661-3589

Practice Phone: 916-788-1114
Practice Fax:

1700370772 — REBECCA LARUSSA M.S., CCC-SLP
Practice Location Address:

532 GIBSON DR STE 100
ROSEVILLE, CA
95678-5878

Practice Phone: 866-564-3589
Practice Fax:

1982199931 — CASEY HART HEINLE
Practice Location Address:

215 N LAMAR AVE
HAYSVILLE, KS
67060-1266

Practice Phone: 316-524-3211
Practice Fax:

1518509199 — FLEXCARE, LLC
Practice Location Address:

532 GIBSON DR STE 100
ROSEVILLE, CA
95678-5878

Practice Phone: 866-564-3589
Practice Fax:

1457335143 — CURTIS L SMITH D.D.S.
Practice Location Address:

12716 NE 36TH ST
SPENCER, OK
73084-9103

Practice Phone: 405-769-3301
Practice Fax: 405-769-9685

1346281383 — JAMES E YOUNG DDS
Practice Location Address:

64580 VAN DYKE RD , SUITE B
WASHINGTON, MI
48095-2857

Practice Phone: 586-752-3589
Practice Fax: 586-752-0198

Directions to “ TU LE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.