Elite Advanced Dentistry, PLLC.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

23046 Issued in TX

Legal business name

ELITE ADVANCED DENTISTRY, PLLC.

Practice address

8538 Hammerly Blvd
Suite B
Houston, TX 77055-1468

Phone

(713) 722-8120

NPI assigned

Sep 14, 2014

Last updated

Sep 14, 2014By the provider in NPPES

Organization subpart

Yes

Parent organization

ELITE ADVANCED DENTISTRY, PLLC.As reported in NPPES

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

Authorized official

Name

Dr. Brian Le, D.M.D.

Title

Director

Phone

(713) 722-8120

Specialties & licenses 1

Addresses

Part of

Elite Advanced Dentistry PLLC

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

{
    "created_epoch": "1410652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410652800000",
    "number": "1457752024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8538 HAMMERLY BLVD",
            "address_2": "SUITE B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770551468",
            "telephone_number": "713-722-8120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8538 HAMMERLY BLVD",
            "address_2": "SUITE B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770551468",
            "telephone_number": "713-722-8120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE ADVANCED DENTISTRY, PLLC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ELITE ADVANCED DENTISTRY, PLLC.",
        "enumeration_date": "2014-09-14",
        "last_updated": "2014-09-14",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "713-722-8120",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "23046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Houston, TX
• Providers in Houston, TX by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2014; 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.