Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Sd- 4315Frederick PC

Organization General Practice Dentistry · NPI 1174074496

Sd- 4315Frederick PC is a General Practice Dentistry in San Antonio, Texas. Licensed in Texas. Registered with an NPI since 2016.

Licensed in
TX
In the registry since
2016
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4522 Fredericksburg Rd A28
San Antonio, TX 78201-6547
Phone: (210) 530-8841
Fax: (210) 530-8738
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 19887 (TX)

Record details

NPI number1174074496
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lynhthy Pham — President · (214) 718-6052
NPI enumeratedOctober 21, 2016
Last updated in NPPESDecember 17, 2021
Certification dateDecember 17, 2021
Mailing address10901 Garland Rd, Dallas, TX 75218-2613

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