Suong Le Dental Corporation

Primary specialty

DentistTaxonomy code 122300000X

License

52747 Issued in CA

Legal business name

SUONG LE DENTAL CORPORATION

Practice address

805 Fletcher LN
Hayward, CA 94544-1010

Phone

(510) 592-7888

NPI assigned

Jan 25, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Suong T Le, DDS

Title

Owner

Phone

(510) 375-0523

Specialties & licenses 1

Addresses

Other names 1

• Childrens Dental Place Doing business as

Locations

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

{
    "created_epoch": "1453680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459814400000",
    "number": "1588021398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 FLETCHER LN",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945441010",
            "telephone_number": "510-592-7888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 FLETCHER LN",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945441010",
            "telephone_number": "510-592-7888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUONG LE DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-25",
        "last_updated": "2016-04-05",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "SUONG",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-375-0523",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "52747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Childrens Dental Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Laura E Swope, LCSW
• Diana Sy, RCDS
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• Dentist in Hayward, CA
• Providers in Hayward, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2016; 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.