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TY DANIEL LAUDERDALE
NPI 1972298719
Student in an Organized Health Care Education/Training Program in Dallas, TX

Active since April 07, 2023
3302 GASTON AVE, DALLAS, TX 75246(214) 828-8215 Get Directions Write a Review

NPPES record last updated: April 7, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Ty Daniel Lauderdale NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TY DANIEL LAUDERDALE (NPI 1972298719) is an individual student in an organized health care education/training program in Dallas, Texas and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1972298719
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameTY DANIEL LAUDERDALE
Location Address3302 GASTON AVEDallas, TX 75246-2013
Mailing Address3302 Gaston AveDallas, TX 75246-2013 · (214) 828-8215
Phone(214) 828-8215
Sole ProprietorNo
Enumeration DateApril 7, 2023
NPPES CertifiedApril 7, 2023
✔ NPI 1972298719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3302 GASTON AVE, Dallas, TX 75246
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRIANNA TREY CALABRIA
Dentist (General Practice)
3302 GASTON AVE
DALLAS, TX 75246
Dallas County (214) 828-8100
AIMEE ANDREINA DIAZ
Student in an Organized Health Care Education/Training Program
3302 GASTON AVE
DALLAS, TX 75246
Dallas County (214) 828-8215
BRENDA HERNANDEZ MOCTEZUMA
Dental Hygienist
3302 GASTON AVE
DALLAS, TX 75246
Dallas County (214) 828-8100
TERESA ANH PHUONG NGUYEN DMD
Student in an Organized Health Care Education/Training Program
3302 GASTON AVE
DALLAS, TX 75246
Dallas County (214) 828-8215
GRANT KASAL
Student in an Organized Health Care Education/Training Program
3302 GASTON AVE
DALLAS, TX 75246
Dallas County (214) 828-8215
SAAD ULLAH MOHAMMED
Student in an Organized Health Care Education/Training Program
3302 GASTON AVE
DALLAS, TX 75246
Dallas County (214) 828-8100
MR. NICOLAS JOSEPH OSTER
Student in an Organized Health Care Education/Training Program
3302 GASTON AVE
DALLAS, TX 75246
Dallas County (214) 828-8100
DR. BRENT B. HUTSON D.D.S., M.S.
Dentist
3302 GASTON AVE
DALLAS, TX 75246
Dallas County (214) 828-8957

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ty Lauderdale's NPI number?

The NPI number for Ty Lauderdale is 1972298719. It was assigned to this individual provider in the NPPES registry on April 7, 2023.

Where is Ty Lauderdale located?

Ty Lauderdale practices at 3302 Gaston Ave, Dallas, TX 75246. The listed phone number is (214) 828-8215.

What is Ty Lauderdale's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Ty Lauderdale was last updated on April 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.