Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Sd- 4315Frederick PC

Organization General Practice Dentistry · NPI 1174074496

Sd- 4315Frederick PC provides 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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