Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

TY DANIEL LAUDERDALE
NPI 1972298719
Dentist in San Antonio, TX

Q: 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.

Q: What is Ty Lauderdale's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Ty Lauderdale was last updated on August 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 days 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.

Active since April 07, 2023

3145 GARDEN AVE, SAN ANTONIO, TX 78234(210) 808-3735 Get Directions Write a Review

NPPES record last updated: August 26, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Aug 26, 2026, Apr 7, 2023 (2 updates tracked since 2023).

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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 dentist in San Antonio, Texas, licensed in Utah (14301988-9926) and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1972298719

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameTY DANIEL LAUDERDALE

Location Address3145 GARDEN AVESan Antonio, TX 78234-7718

Mailing Address3145 Garden AveSan Antonio, TX 78234-7718 · (210) 808-3735

Phone(210) 808-3735

Sole ProprietorNo

Enumeration DateApril 7, 2023

Last NPPES UpdateAugust 26, 20262 updates tracked since enumeration

NPPES CertifiedAugust 26, 2026

✔ NPI 1972298719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in UT · 14301988-9926

Definition

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 requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

3145 GARDEN AVE, San Antonio, TX 78234

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Other Providers at the Same Location NPPES 10

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

TORRI ESPINOZA-LOGAN RDH

Dental Hygienist

3145 GARDEN AVE, SUITE 1278
FORT SAM HOUSTON, TX 78234

Bexar County (210) 808-3735

MS. LUSHANA MARIE CASTRO RDH

Dental Hygienist

3145 GARDEN AVE
JBSA FT SAM HOUSTON, TX 78234

Bexar County (210) 808-3735

SYDNEY LAINEZ

Dental Hygienist

3145 GARDEN AVE
JBSA FT SAM HOUSTON, TX 78234

Bexar County (210) 808-3736

MRS. JENNIFER M KILEY RDH

Dental Hygienist

3145 GARDEN AVE, STE 1278
FORT SAM HOUSTON, TX 78234

Bexar County (210) 808-3735

ZACHARY POOLE

Dental Hygienist

3145 GARDEN AVE
FORT SAM HOUSTON, TX 78234

Bexar County (210) 808-3735

MR. BILLY EUGENE KINNAMAN JR.

Dental Assistant

3145 GARDEN AVE
SAN ANTONIO, TX 78234

Bexar County (210) 598-9180

RAISHEL B DEHOYOS-LAZO RDA, EFDA

Dental Hygienist

3145 GARDEN AVE
FORT SAM HOUSTON, TX 78234

Bexar County (210) 808-3735

DR. STEVEN LUBY SIDOFF SR. DDS

Dentist

3145 GARDEN AVE, 1278
FORT SAM HOUSTON, TX 78234

Bexar County (210) 808-3735

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 3145 Garden Ave, San Antonio, TX 78234. The listed phone number is (210) 808-3735.

What is Ty Lauderdale's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Ty Lauderdale was last updated on August 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 days 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.