Active NPI
SD Valley Mills PLLC
- General Practice Dentistry
- Waco, TX
National Provider Identifier
1649961079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- SD VALLEY MILLS PLLC
- Practice address
- 1437 S Valley Mills Dr
Waco, TX 76711 - Phone
- (254) 221-1901
- NPI assigned
- May 17, 2023
- Organization subpart
- No
NPPES NPI Registry
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
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
1437 S Valley Mills Dr
Waco, TX 76711
Mailing address
PO Box 453247
Garland, TX 75045-3247
Phone (214) 466-1400
National Provider Directory
National Provider DirectoryLocations
1437 S Valley Mills Dr
Waco, TX 76711
Phone (254) 221-1901
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684281600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1684281600000",
"number": "1649961079",
"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": "214-466-1400",
"fax_number": "214-367-5896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1437 S VALLEY MILLS DR",
"city": "WACO",
"state": "TX",
"postal_code": "76711",
"telephone_number": "254-221-1901"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SD VALLEY MILLS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-17",
"last_updated": "2023-05-17",
"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": []
}
Other providers in Waco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.