Provider Demographics
NPI:1942862099
Name:LE, CAITLYN DANIELLE (DDS)
Entity Type:Individual
Prefix:DR
First Name:CAITLYN
Middle Name:DANIELLE
Last Name:LE
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 1:7936 XAVIER CT
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75218-4512
Mailing Address - Country:US
Mailing Address - Phone:214-677-6278
Mailing Address - Fax:
Practice Address - Street 1:272 S COLLINS RD
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:TX
Practice Address - Zip Code:75182-4640
Practice Address - Country:US
Practice Address - Phone:972-216-1871
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-28
Last Update Date:2019-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX35411122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist