SD Texarkana

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SD TEXARKANA

Practice address

3225 Kennedy LN
Texarkana, TX 75503-2428

Phone

(903) 306-2384

Fax

(903) 306-2459

NPI assigned

Oct 14, 2019

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

(214) 466-1400

Specialties & licenses 1

Addresses

Other names 1

• SD TEXARKANA, PLLC Doing business as

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

{
    "created_epoch": "1571011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571011200000",
    "number": "1982246690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 450758",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750450758",
            "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": "3225 KENNEDY LN",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755032428",
            "telephone_number": "903-306-2384",
            "fax_number": "903-306-2459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SD TEXARKANA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-14",
        "last_updated": "2019-10-14",
        "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": "214-466-1400",
        "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": [
        {
            "organization_name": "SD TEXARKANA, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elizabeth Ann Scogin, RPH
• Kimberly Scott
• Michelle K Scott, LPC
• Nikki Scott, NP
• Stephanie Michelle Scott, LAT
• Seals Audiology PLLC
• Brandon Heath Seals, PHARMD
• Jody Lynn Seals
• Raffy Yu Seares, PT, DPT
• Christian Allen Sell, MD

• General Practice Dentistry in Texarkana, TX
• Providers in Texarkana, 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 Oct 14, 2019; 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.