Le Dental Professional Corp

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

47633 Issued in CA

Legal business name

LE DENTAL PROFESSIONAL CORP

Practice address

1832 Tully Rd
San Jose, CA 95122-1881

Phone

(408) 238-8898

Fax

(408) 270-2345

NPI assigned

Mar 8, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Mai Kim Le, DDSNPI 1073631222

Title

Ceo

Phone

(408) 238-8898

Specialties & licenses 1

Addresses

Practitioners 1

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

• Mai Kim Le, D.D.S.

  • Dentist
  • San Jose, CA
  • NPI 1073631222
  NPD (past) Authorized official

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

{
    "created_epoch": "1299542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299542400000",
    "number": "1902104458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1832 TULLY RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951221881",
            "telephone_number": "408-238-8898",
            "fax_number": "408-270-2345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1832 TULLY RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951221881",
            "telephone_number": "408-238-8898",
            "fax_number": "408-270-2345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LE DENTAL PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-08",
        "last_updated": "2011-03-08",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "MAI",
        "authorized_official_middle_name": "KIM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "408-238-8898",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "47633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isabel Lazo
• LB Acupuncture
• LDS Family Services
• Le & DO Chiropractic and Wellness Center
• Le Dental Inc.
• Laetitia Le Roux, PT
• Christiane Maithy Le-Mahon, PA-C
• Giang-Johnny Hong Le-Merritt
• Alan Duy Khiem Le, NP
• Albert Honganho Le, D.D.S.

• General Practice Dentistry in San Jose, CA
• Providers in San Jose, 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 Mar 8, 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.