Isaac H Le, DDS PA
Individual provider Active NPI Dentist · Watauga, TX
NPI 1578697199 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1578697199
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 20706 (TX)
- Practice address
- 8004 Denton Hwy
Ste 136
Watauga, TX 76248 - Phone
- (817) 577-7100
- Fax
- (817) 427-4330
- NPI assigned
- Mar 15, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20706 | TX | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 20706 | TX | Yes |
Addresses
Primary practice location
8004 Denton Hwy
Ste 136
Watauga, TX 76248
Mailing address
8004 Denton Hwy
Ste 136
Watauga, TX 76248
Phone (817) 577-7100
Other providers in Watauga, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.