Ktle DMD, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

KTLE DMD, PC

Practice address

3065 S Archibald Ave Ste B
Ontario, CA 91761-9000

Phone

(909) 923-3640

Fax

(909) 947-7728

NPI assigned

Sep 22, 2018

Last updated

Feb 13, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ky T Le, D.M.D.NPI 1306180708

Title

President

Phone

(909) 923-3640

Specialties & licenses 1

Addresses

Locations

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.

• Ky Trong Le, D.M.D.

  • General Practice Dentistry
  • Jacksonville, FL
  • NPI 1306180708
  NPD Authorized official

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

{
    "created_epoch": "1537574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707782400000",
    "number": "1770067001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3065 S ARCHIBALD AVE STE B",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917619000",
            "telephone_number": "909-923-3640",
            "fax_number": "909-947-7728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3065 S ARCHIBALD AVE STE B",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917619000",
            "telephone_number": "909-923-3640",
            "fax_number": "909-947-7728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KTLE DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-22",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "KY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-923-3640",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsi Kramp
• Serkadis Amare Krohm
• Sean Adrian Kruckenberg, LCSW
• Krupakar Yeturu DDS Inc (Ontario Chino Dental Center)
• KSL Dental Group Inc (Fresh Leaf Dental)
• Christopher Kubacki
• Darian Kuhn
• Alan Kuo, M.D.
• Hsiang Chun Kuo, L.AC.
• Joanne Kuo, PHARMD

• General Practice Dentistry in Ontario, CA
• Providers in Ontario, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.