Provider Demographics
NPI:1427942929
Name:LE, DAT THANH TIEN (DMD)
Entity type:Individual
Prefix:DR
First Name:DAT
Middle Name:THANH TIEN
Last Name:LE
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6852 RIDGE TOP DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79904-3915
Mailing Address - Country:US
Mailing Address - Phone:210-251-9368
Mailing Address - Fax:
Practice Address - Street 1:965 N RESLER DR STE 105
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79912-1419
Practice Address - Country:US
Practice Address - Phone:915-585-2020
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-07
Last Update Date:2025-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program