Phu H. Le, D.D.S., P.a.

Primary specialty

DentistTaxonomy code 122300000X

License

17656 Issued in TX

Legal business name

PHU H. LE, D.D.S., P.A.

Doing business as

ADVANCED FAMILY DENTAL

Practice address

1540 Keller Pkwy
Suite 140
Keller, TX 76248-3686

Phone

(817) 337-0072

Fax

(817) 337-0073

NPI assigned

Jun 24, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Phu H Le, DDS

Title

President

Phone

(817) 337-0072

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• ADVANCED FAMILY DENTAL Doing business as

Locations

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

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1457512287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 KELLER PKWY",
            "address_2": "SUITE 140",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762483686",
            "telephone_number": "817-337-0072",
            "fax_number": "817-337-0073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 KELLER PKWY",
            "address_2": "SUITE 140",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762483686",
            "telephone_number": "817-337-0072",
            "fax_number": "817-337-0073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHU H. LE, D.D.S., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-24",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "PHU",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-337-0072",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "17656",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009339502",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADVANCED FAMILY DENTAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dentist in Keller, TX
• Providers in Keller, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; 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.