Provider Demographics
NPI:1326446691
Name:CHINH N. LE. D.D.S. L.L.C.
Entity Type:Organization
Organization Name:CHINH N. LE. D.D.S. L.L.C.
Other - Org Name:CHINH N. LE D.D.S.,L.L.C.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/ DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CHINH
Authorized Official - Middle Name:NGUYEN
Authorized Official - Last Name:LE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-208-0002
Mailing Address - Street 1:18220 CONTOUR RD
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY VILLAGE
Mailing Address - State:MD
Mailing Address - Zip Code:20877-2623
Mailing Address - Country:US
Mailing Address - Phone:301-208-0002
Mailing Address - Fax:
Practice Address - Street 1:18220 CONTOUR RD
Practice Address - Street 2:
Practice Address - City:MONTGOMERY VILLAGE
Practice Address - State:MD
Practice Address - Zip Code:20877-2623
Practice Address - Country:US
Practice Address - Phone:301-208-0002
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-18
Last Update Date:2014-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD13448261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD1780921981OtherNPI
MD1780861831OtherNPI
MD1861446106OtherNPI
MD1134550296OtherNPI