MEDICARE: ALAN 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	1223G0001X	General Practice Dentistry	7995	NV
2	1223G0001X	General Practice Dentistry	D12319	OR

General Provider Information

NPI Number	:	1932885902
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALAN LE

Provider Business Mailing Address
First Line	:	3619 VERBENA ROSE CT
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89081-4008
Country	:	US
Telephone Number	:	702-506-8306
Fax Number	:

Provider Business Practice Location Address
First Line	:	7910 W TROPICAL PKWY STE 140
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89149-4555
Country	:	US
Telephone Number	:	702-273-3676
Fax Number	:

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

Provider Enumeration Date	:	06/26/2023
Last Update Date	:	05/27/2026

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Directions to “ ALAN LE ” Practice Location

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