Individual provider · Type 1 NPI

Ty Daniel Lauderdale

Dentist · San Antonio, TX

NPI number 1972298719 Active

Practice location

3145 Garden Ave
San Antonio, TX 78234-7718

Call (210) 808-3735 Map

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X14301988-9926 (UT)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1972298719

Ty Daniel Lauderdale's National Provider Identifier is 1972298719, issued on Apr 7, 2023. The primary taxonomy on file is Dentist (122300000X), and the practice location is in San Antonio, TX. The record was last updated on Aug 26, 2026.