OrganizationActive
Sd- 4315frederick PC
NPI 1174074496 · General Practice Dentistry · San Antonio, TX
Sd- 4315frederick PC is a General Practice Dentistry organization in San Antonio, TX (NPI 1174074496).
Provider details
- NPI number
- 1174074496
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Lynhthy Pham, President(214) 718-6052
- License
- 19887 (TX)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4522 Fredericksburg Rd
A28
San Antonio, TX 78201-6547
Phone: (210) 530-8841
Fax: (210) 530-8738
Street-level locationGet directions
Mailing address
10901 Garland Rd
Dallas, TX 75218-2613
Registry dates
- Enumerated
- 2016-10-21
- Last updated
- 2021-12-17
- Certified
- 2021-12-17
Frequently asked questions
- What is Sd- 4315frederick PC's NPI number?
- Sd- 4315frederick PC's National Provider Identifier (NPI) is 1174074496, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Sd- 4315frederick PC?
- Sd- 4315frederick PC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Sd- 4315frederick PC located?
- Sd- 4315frederick PC's practice location on file with NPPES is 4522 Fredericksburg Rd, San Antonio, TX 78201-6547.
- What is Sd- 4315frederick PC's phone number?
- The practice phone number listed in the NPPES registry for Sd- 4315frederick PC is (210) 530-8841.
- Who is the authorized official for Sd- 4315frederick PC?
- The authorized official listed on Sd- 4315frederick PC's NPPES record is Lynhthy Pham, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Sd- 4315frederick PC's NPI active?
- Yes — Sd- 4315frederick PC's NPI (1174074496) is active in the NPPES registry as of the last update on 2021-12-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.