SD- 4315FREDERICK PC
NPI 1174074496
Dentist - General Practice in San Antonio, TX

Q: What is Sd- 4315frederick PC's NPI number?

The NPI number for Sd- 4315frederick PC is 1174074496. It was assigned to this organization in the NPPES registry on October 21, 2016.

Q: What is Sd- 4315frederick PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since October 21, 2016

4522 FREDERICKSBURG RD, A28, SAN ANTONIO, TX 78201(210) 530-8841(210) 530-8738 Get Directions Write a Review

NPPES record last updated: December 17, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 17, 2021, Feb 27, 2018, Oct 21, 2016 (3 updates tracked since 2016).

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About Sd- 4315frederick Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SD- 4315FREDERICK PC (NPI 1174074496) is a healthcare organization registered as a general practice in San Antonio, Texas and active in the NPI registry since October 2016. The organization lists Lynhthy Thy Pham, President, as its authorized official.

NPPES Registry Identity

NPI1174074496

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameSD- 4315FREDERICK PC

Location Address4522 FREDERICKSBURG RD, A28San Antonio, TX 78201-6547

Mailing Address10901 Garland RdDallas, TX 75218-2613 · (214) 466-1400 · Fax (214) 367-5896

Phone(210) 530-8841

Fax(210) 530-8738

Organization SubpartNo

Authorized OfficialLynhthy Thy PhamPresident · (214) 718-6052

Enumeration DateOctober 21, 2016

Last NPPES UpdateDecember 17, 20213 updates tracked since enumeration

NPPES CertifiedDecember 17, 2021

✔ NPI 1174074496 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in TX · 19887

Definition

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.

4522 FREDERICKSBURG RD, San Antonio, TX 78201

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SAN ANTONIO VAMC

Clinic/Center (VA)

4522 FREDERICKSBURG RD, STE A-10/ A-88/ A-100
SAN ANTONIO, TX 78201

Bexar County (615) 355-3451

MARTHA ANNE COMBS PH.D.

Psychologist (Clinical)

4522 FREDERICKSBURG RD, SUITES A-10 AND A-88
SAN ANTONIO, TX 78201

Bexar County (210) 732-1802

LETICIA A PORET MD PA

Internal Medicine

4522 FREDERICKSBURG RD, SUITE A 14
SAN ANTONIO, TX 78201

Bexar County (210) 733-3005

ELIHENNETTE GONZALEZ FLORES LMFT

Marriage & Family Therapist

4522 FREDERICKSBURG RD
SAN ANTONIO, TX 78201

Bexar County (210) 617-5300

DR. DENNIS BRYAN YU O.D.

Optometrist

4522 FREDERICKSBURG RD
BALCONES HEIGHTS, TX 78201

Bexar County (210) 733-1555

MYLESTONES PEDIATRIC THERAPY, PLLC

Speech-Language Pathologist

4522 FREDERICKSBURG RD, STE. A-45
SAN ANTONIO, TX 78201

Bexar County (210) 735-7968

JESSICA MARTIN MA, LPC

Counselor (Mental Health)

4522 FREDERICKSBURG RD
SAN ANTONIO, TX 78201

Bexar County (210) 732-1802

PHILLIP JOHNSON II LPC

Counselor (Professional)

4522 FREDERICKSBURG RD, SUITE A-45
SAN ANTONIO, TX 78201

Bexar County (210) 716-5040

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sd- 4315frederick PC's NPI number?

The NPI number for Sd- 4315frederick PC is 1174074496. It was assigned to this organization in the NPPES registry on October 21, 2016.

Where is Sd- 4315frederick PC located?

Sd- 4315frederick PC is located at 4522 Fredericksburg Rd A28, San Antonio, TX 78201. The listed phone number is (210) 530-8841.

What is Sd- 4315frederick PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Sd- 4315frederick PC accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 1 other insurer list Sd- 4315frederick PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sd- 4315frederick PC was last updated on December 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.