Organization Active NPI

Le & Le Dental Corporation

Doing business as San Marcos Smile Dental

  • General Practice Dentistry
  • San Marcos, CA
National Provider Identifier
1629540513
Registry record updated Jun 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
LE & LE DENTAL CORPORATION
Doing business as
San Marcos Smile Dental
Practice address
3643 Grand Ave Ste a
San Marcos, CA 92078-2336
Phone
(760) 536-3648
Fax
(760) 734-5762
NPI assigned
Dec 18, 2018
Organization subpart
Yes
Parent organization
LE & LE DENTAL CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 22, 2024

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

Authorized official

Name
Vinh Bao Le, DDSNPI 1194803759
Title
Vice President
Phone
(760) 591-9494

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary
Dental Clinic/Center 261QD0000X

Addresses

Primary practice location

3643 Grand Ave Ste a
San Marcos, CA 92078-2336

Mailing address

3643 Grand Ave Ste a
San Marcos, CA 92078-2336
Phone (760) 536-3648

Other names 1

  • San Marcos Smile Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Le Le Dental Corporation3 organizations share this tax ID, including this one
Part of
Le Le Dental Corporation

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

727 W San Marcos Blvd
Ste 111
San Marcos, CA 92078
Phone (760) 591-9494

3643 Grand Ave
Ste A
San Marcos, CA 92078
Phone (760) 536-3648

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1545091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719014400000",
    "number": "1629540513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3643 GRAND AVE STE A",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920782336",
            "telephone_number": "760-536-3648",
            "fax_number": "760-734-5762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3643 GRAND AVE STE A",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920782336",
            "telephone_number": "760-536-3648",
            "fax_number": "760-734-5762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LE & LE DENTAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LE & LE DENTAL CORPORATION",
        "enumeration_date": "2018-12-18",
        "last_updated": "2024-06-22",
        "certification_date": "2024-06-22",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "VINH",
        "authorized_official_middle_name": "BAO",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "760-591-9494",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Marcos Smile Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "San Marcos Smile Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Marcos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2024; 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.