# AFFORDABLE DENTIST NEAR ME IN WACO PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** AFFORDABLE DENTIST NEAR ME
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760842587
- **Authorized official:** DR. TRI PHAM DDS (SOLE OWNER)
- **Authorized official phone:** (817) 656-1215

## Contact information

- **Practice address:** 4573 LAKE SHORE DR, WACO, TX 76710-1814
- **Practice address phone:** (817) 656-1215
- **Practice address fax:** (877) 230-8349
- **Mailing address:** 5416 BASSWOOD BLVD, FORT WORTH, TX 76137-4400
- **Mailing address phone:** (817) 656-1215
- **Mailing address fax:** (877) 230-8349

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 24570 | TX | — |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/07/2016
- **Last updated:** 05/08/2024