Ty Daniel Lauderdale is a San Antonio, Texas based Dentist who is specialized in
Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Ty Daniel Lauderdale is
14301988-9926 for Dentistry in Utah. His current practice location is
3145 Garden Ave, San Antonio. Patients can reach him at
210-808-3735.
Ty Daniel Lauderdale is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Ty Daniel Lauderdale speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Ty Daniel Lauderdale |
| Specialization: | Dentist |
| Gender: | Male |
| Accepts Medicare Assignment: | No |
| Practice Address: | 3145 Garden Ave, San Antonio,
Texas, 78234-7718 |
| Phone: | 210-808-3735 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1972298719 |
| NPI Enumeration Date: | 07 Apr, 2023 |
| NPI Last Update On: | 26 Aug, 2026 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ty Daniel Lauderdale are as mentioned below.
| License Number | Specialization | State | Status | |
| 14301988-9926 | Dentistry | Utah | Primary | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 3145 Garden Ave,
San Antonio, Texas |
| Zip: | 78234-7718 |
| Phone Number: | 210-808-3735 |
Patients can reach Ty Daniel Lauderdale at
3145 Garden Ave, San Antonio, Texas or can
call to book an appointment on 210-808-3735.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
14 September, 2026.