Active NPI
LP Dental Center,PLLC
- General Practice Dentistry
- Phoenix, AZ
National Provider Identifier
1396018610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 7208
- Legal business name
- LP DENTAL CENTER,PLLC
- Practice address
- 3515 W Southern Ave Ste 152
Phoenix, AZ 85041-4229 - Phone
- (602) 268-0006
- Fax
- (602) 268-0007
- NPI assigned
- Feb 16, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Bill Bao Quang Le, DMD
- Title
- Corporate Officer
- Phone
- (602) 268-0006
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 7208 | AZ | Primary |
Addresses
Primary practice location
3515 W Southern Ave Ste 152
Phoenix, AZ 85041-4229
Mailing address
3515 W Southern Ave Ste 152
Phoenix, AZ 85041-4229
Phone (602) 268-0006
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329350400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1329436800000",
"number": "1396018610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3515 W SOUTHERN AVE STE 152",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850414229",
"telephone_number": "602-268-0006",
"fax_number": "602-268-0007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3515 W SOUTHERN AVE STE 152",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850414229",
"telephone_number": "602-268-0006",
"fax_number": "602-268-0007"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LP DENTAL CENTER,PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-02-16",
"last_updated": "2012-02-17",
"status": "A",
"authorized_official_last_name": "LE",
"authorized_official_first_name": "BILL",
"authorized_official_middle_name": "BAO QUANG",
"authorized_official_title_or_position": "CORPORATE OFFICER",
"authorized_official_telephone_number": "602-268-0006",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "AZ",
"license": "7208",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.