Provider Demographics
NPI:1356234686
Name:DINH, TINA LE (DDS)
Entity type:Individual
Prefix:DR
First Name:TINA
Middle Name:LE
Last Name:DINH
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 1:1551 KALAKAUA AVE APT H303
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96826-6430
Mailing Address - Country:US
Mailing Address - Phone:808-726-6983
Mailing Address - Fax:
Practice Address - Street 1:23515 NE NOVELTY HILL RD STE 209
Practice Address - Street 2:
Practice Address - City:REDMOND
Practice Address - State:WA
Practice Address - Zip Code:98053-5505
Practice Address - Country:US
Practice Address - Phone:425-898-8699
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-03
Last Update Date:2025-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
WADE70002750122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program