Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Ty Douglas Shafer, DDS

Individual provider Dentist · NPI 1346269107

Dr. Ty Douglas Shafer, DDS is a Dentist in Southlake, Texas. Licensed in Texas. Registered with an NPI since 2006.

Licensed in
TX
In the registry since
2006
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

2000 E Northwest Pkwy
Southlake, TX 76092-6514
Phone: (817) 416-2228
Fax: (817) 421-0408
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 21301 (TX)

Record details

NPI number1346269107
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJuly 19, 2006
Last updated in NPPESJuly 8, 2007
Mailing address2000 E Northwest Pkwy, Southlake, TX 76092-6514

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