Individual provider Active NPI

Marie Pham Le

  • General Practice Dentistry
  • Dallas, TX
National Provider Identifier
1346935095
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
41596 Issued in TX
Practice address
6108 Skillman St
Dallas, TX 75231-7811
Phone
(469) 908-4738
NPI assigned
Apr 10, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 41596 TX Primary

Addresses

Primary practice location

6108 Skillman St
Dallas, TX 75231-7811

Mailing address

2505 Strother Dr
Garland, TX 75044-4635
Phone (469) 888-2715

Other practice location 1

2111 E Arapaho Rd
Richardson, TX 75081-3148
Phone (214) 432-1133

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
41596TXMDSpeech-Language Assistant

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1681084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1346935095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 STROTHER DR",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750444635",
            "telephone_number": "469-888-2715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6108 SKILLMAN ST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752317811",
            "telephone_number": "469-908-4738"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2111 E Arapaho Rd",
            "address_purpose": "LOCATION",
            "city": "Richardson",
            "state": "TX",
            "postal_code": "750813148",
            "country_code": "US",
            "telephone_number": "214-432-1133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LE",
        "first_name": "MARIE",
        "middle_name": "PHAM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-10",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "41596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.