Provider Demographics
NPI:1326047887
Name:OLEARY, LE YEN THI (DDS)
Entity Type:Individual
Prefix:DR
First Name:LE YEN THI
Middle Name:
Last Name:OLEARY
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6217 CHAPEL HILL BLVD
Mailing Address - Street 2:STE 107
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-8477
Mailing Address - Country:US
Mailing Address - Phone:972-403-8000
Mailing Address - Fax:972-403-8009
Practice Address - Street 1:6217 CHAPEL HILL BLVD
Practice Address - Street 2:STE 107
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-8477
Practice Address - Country:US
Practice Address - Phone:972-403-8000
Practice Address - Fax:972-403-8009
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-18
Last Update Date:2012-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX169871223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics