Thimy D. Le DMD, Inc.

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

License

48943 Issued in CA

Legal business name

THIMY D. LE DMD, INC.

Practice address

11100 Warner Ave
Suite #160
Fountain Valley, CA 92708-7506

Phone

(714) 799-9945

Fax

(657) 218-9699

NPI assigned

Jan 17, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Thimy D Le, DMD

Title

Dentist

Phone

(714) 799-9945

Specialties & licenses 2

Addresses

Other names 1

• Bleach Doing business as

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436227200000",
    "number": "1972655165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 5728",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "92615",
            "telephone_number": "714-799-9945",
            "fax_number": "714-799-9505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11100 WARNER AVE",
            "address_2": "SUITE #160",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927087506",
            "telephone_number": "714-799-9945",
            "fax_number": "657-218-9699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THIMY D. LE DMD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2015-07-07",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "THIMY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "714-799-9945",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": "CA",
            "license": "48943",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "48943",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bleach",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Public Health Dentistry in Fountain Valley, CA
• Providers in Fountain Valley, CA by specialty
• Public Health Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2015; 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.