Organization Active NPI

Collin M Le, DDS, PLLC II

Doing business as Coastal Smiles Family Dentistry at Landfall

  • Dentist
  • Wilmington, NC
National Provider Identifier
1669803581
Registry record updated Jul 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
8770 Issued in NC
Legal business name
COLLIN M LE, DDS, PLLC II
Doing business as
Coastal Smiles Family Dentistry at Landfall
Practice address
311 South College Road
Suite 120
Wilmington, NC 28403
Phone
(910) 859-7017
Fax
(910) 859-7021
NPI assigned
Dec 2, 2013
Last updated
Jul 28, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2023

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

Authorized official

Name
Mr. Collin M Le, DDSNPI 1538395199
Title
Owner
Phone
(910) 796-8305

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 8770 NC Primary

Addresses

Primary practice location

311 South College Road
Suite 120
Wilmington, NC 28403

Mailing address

6419 Carolina Beach Rd Ste E
Wilmington, NC 28412-2909

Other names 1

  • Coastal Smiles Family Dentistry at Landfall Doing business as

National Provider Directory

National Provider Directory

Locations

1337 Military Cutoff Rd
Wilmington, NC 28405
Phone (910) 256-9292

311 S College Rd
Ste 120
Wilmington, NC 28403
Phone (910) 859-7017

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1385942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690502400000",
    "number": "1669803581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6419 CAROLINA BEACH RD STE E",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284122909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 SOUTH COLLEGE ROAD",
            "address_2": "SUITE 120",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "28403",
            "telephone_number": "910-859-7017",
            "fax_number": "910-859-7021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLIN M LE, DDS, PLLC II",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-02",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "COLLIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-796-8305",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "8770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastal Smiles Family Dentistry at Landfall",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Coastal Smiles Family Dentistry at Landfall",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2023; 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.