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Deactivated NPI 1528679784 Deactivated / Inactive NPI Male Practitioner

Dr. Tuan N Le , DMD

Dentist - General Practice • Destin, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Tuan Le has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 12, 2020
NPI Deactivation Date May 08, 2025
Total Practice Duration ~5 Years of Practice (2020 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Tuan Le, DMD was a registered Dentist - General Practice practicing in Destin, FL. Throughout an active medical career spanning 5 years, Dr. Le provided care at the practice location at 415 MOUNTAIN DR STE 4 until profile deactivation on 2025-05-08.

Practice Location & Contact Primary Location

Practice Address

415 Mountain Dr Ste 4

Destin, FL 325417310

Telephone 8504246996

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Destin, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.0 Yrs
Regional Practice Density
14 Specialists

Practicing in Destin, FL (7473 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-08-12
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License FL 25288

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Barbara Mizell , DMD

Dentist - General Practice

NPI 1578642864

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
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Updated Practice Location June 02, 2025

Registered at 415 MOUNTAIN DR STE 4, DESTIN, FL 325417310 (Tel: 8504246996)

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Updated Business Mailing Address June 02, 2025

Registered at 23 PARK CIR SE, FORT WALTON BEACH, FL 325485408 (Tel: 8326020045)

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Provider Name / Credentials Updated June 02, 2025

Recorded as TUAN LE, DMD

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 02, 2025

Dentist (License #25288 in FL)

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NPI Profile Deactivated May 08, 2025

Record deactivated on May 08, 2025

NPI Profile Active August 12, 2020

NPI status registered as active in NPPES database

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Updated Practice Location August 12, 2020

Registered at 415 MOUNTAIN DR STE 4, DESTIN, FL 325417310 (Tel: 8504246996)

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Updated Business Mailing Address August 12, 2020

Registered at 23 PARK CIR SE, FORT WALTON BEACH, FL 325485408 (Tel: 8326020045)

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Provider Name / Credentials Updated August 12, 2020

Recorded as TUAN LE, DMD

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 12, 2020

Dentist (License #25288 in FL)

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Initial NPI Registration & Enumeration August 12, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1528679784
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 12, 2020
Last Update: June 02, 2025
Deactivation Date: May 08, 2025
Sole Proprietor: Yes

Mailing Address

23 Park Cir Se

Fort Walton Beach, FL 325485408

Phone: 8326020045

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.