Organization Active NPI

Collin M. Le, D.D.S, P.L.L.C.

Doing business as Coastal Smiles Family Dentistry

  • General Practice Dentistry
  • Wilmington, NC
National Provider Identifier
1780992909
Registry record updated Jan 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8770 Issued in NC
Legal business name
COLLIN M. LE, D.D.S, P.L.L.C.
Doing business as
Coastal Smiles Family Dentistry
Practice address
6419 Carolina Beach Rd
Suite E
Wilmington, NC 28412-2909
Phone
(910) 796-8305
Fax
(910) 796-8339
NPI assigned
Sep 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2011

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

Authorized official

Name
Dr. Collin Le, D.D.SNPI 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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 8770 NC Primary

Addresses

Primary practice location

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

Mailing address

6419 Carolina Beach Rd
Suite E
Wilmington, NC 28412-2909
Phone (910) 796-8305

Other names 1

  • Coastal Smiles Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

6419 Carolina Beach Rd
Ste E
Wilmington, NC 28412
Phone (303) 378-1372

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": "1285113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294963200000",
    "number": "1780992909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6419 CAROLINA BEACH RD",
            "address_2": "SUITE E",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284122909",
            "telephone_number": "910-796-8305",
            "fax_number": "910-796-8339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6419 CAROLINA BEACH RD",
            "address_2": "SUITE E",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284122909",
            "telephone_number": "910-796-8305",
            "fax_number": "910-796-8339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLIN M. LE, D.D.S, P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-22",
        "last_updated": "2011-01-14",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "COLLIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-796-8305",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "8770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastal Smiles Family Dentistry",
            "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 Jan 14, 2011; 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.