SD Meadowbrook PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SD MEADOWBROOK PLLC

Practice address

6302 Meadowbrook Dr Ste 112
Fort Worth, TX 76112-5163

Phone

(817) 466-0800

NPI assigned

May 3, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Lynhthy T. Pham, DDS

Title

Owner

Phone

(469) 902-6792

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1683072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683072000000",
    "number": "1023707106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 453247",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750453247",
            "telephone_number": "817-466-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6302 MEADOWBROOK DR STE 112",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761125163",
            "telephone_number": "817-466-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SD MEADOWBROOK PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-03",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "LYNHTHY",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-902-6792",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Scribner, DO
• Suleyka Macias Scribner
• William B. Scroggie, M.D.
• Thomas Andrew Scully, DO
• Sculpted Body Medspa LLC
• SDM ASC LLC
• Charles Richard Seaberg Jr., LCDC
• Candace Seagraves, O.D.
• Andrea Christine Seal, LCDC-I
• Alexandra Danielle Seale

• General Practice Dentistry in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.