Provider Demographics
NPI:1447379128
Name:LE, AN QUOC (DDS)
Entity Type:Individual
Prefix:DR
First Name:AN
Middle Name:QUOC
Last Name:LE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4637 HEDGCOXE RD
Mailing Address - Street 2:SUITE 112
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-3962
Mailing Address - Country:US
Mailing Address - Phone:832-244-6157
Mailing Address - Fax:972-377-8870
Practice Address - Street 1:4637 HEDGCOXE RD
Practice Address - Street 2:SUITE 112
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-3962
Practice Address - Country:US
Practice Address - Phone:832-244-6157
Practice Address - Fax:972-377-8870
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-27
Last Update Date:2016-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX22204122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX195026301Medicaid