Provider Demographics
NPI:1093090888
Name:LE, HOANG-OANH (DDS)
Entity type:Individual
Prefix:DR
First Name:HOANG-OANH
Middle Name:
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 1:1640 S 70TH ST
Mailing Address - Street 2:SUITE #200
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68506-1571
Mailing Address - Country:US
Mailing Address - Phone:402-483-7631
Mailing Address - Fax:402-483-1237
Practice Address - Street 1:1640 S 70TH ST
Practice Address - Street 2:SUITE #200
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68506-1571
Practice Address - Country:US
Practice Address - Phone:402-483-7631
Practice Address - Fax:402-483-1237
Is Sole Proprietor?:No
Enumeration Date:2011-10-12
Last Update Date:2012-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE68291223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics