IndividualActive
Donald Tyler, DDS
NPI 1386694644 · Oral and Maxillofacial Pathology Dentistry · Jbsa Lackland, TX
Provider details
- NPI number
- 1386694644
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Pathology DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 047716 (NY)
Specialties & taxonomies
Dental Providers
Practice location
1100 Wilford Hall Loop Bldg Wilford
Jbsa Lackland, TX 78236-5638
Phone: (210) 916-1843
Fax: (210) 916-3235
Approximate (ZIP-level) locationGet directions
Mailing address
3551 Roger Brooke Dr Dept of
Fort Sam Houston, TX 78234-4504
Additional practice locations (1)
- 3551 Roger Brooke Dr Fl Drive4Fort Sam Houston, TX 78234-4504Phone: (210) 916-1843Fax: (210) 916-3235
Registry dates
- Enumerated
- 2006-05-10
- Last updated
- 2021-04-13
- Certified
- 2021-04-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.