Phu Thanh Thien Le, DDS Dental Corp

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

PHU THANH THIEN LE, DDS DENTAL CORP

Doing business as

Little Gold Fish Children's Dentistry

Practice address

650 International Blvd Ste a
Oakland, CA 94606-2987

Phone

(510) 517-5309

NPI assigned

Jul 27, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Phu T Le, DDS

Title

Ceo

Phone

(510) 517-5309

Specialties & licenses 1

Addresses

Other names 1

• Little Gold Fish Children's Dentistry Doing business as

Locations

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

{
    "created_epoch": "1564185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564185600000",
    "number": "1992359061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 INTERNATIONAL BLVD STE A",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946062987",
            "telephone_number": "510-517-5309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 INTERNATIONAL BLVD STE A",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946062987",
            "telephone_number": "510-517-5309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHU THANH THIEN LE, DDS DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-27",
        "last_updated": "2019-07-27",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "PHU",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "510-517-5309",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Little Gold Fish Children's Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Phillips, MD
• Ronald E Phillips, PHD, APRN, AGACNP-BC
• Shauntie Phillips, NP
• Pysay Phinith, LCSW
• Brion Phipps, LCSW
• Phan T. Phu, MD
• Physical Therapy Innovations, Inc.
• Physiotherapy Associates Inc
• Amanda Piantedosi, PT
• Amanda Piasecki

• Dental Clinic/Center in Oakland, CA
• Providers in Oakland, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2019; 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.