Trace Bridges Family Dentistry Pllc in Lawton - General Practice
Trace Bridges Family Dentistry Pllc - NPI 1184714156
Trace Bridges Family Dentistry Pllc is a General Practice in Lawton, Oklahoma. Trace Bridges Family Dentistry Pllc practices all healthcare services and medical treatments related to General Practice. The NPI Number for Trace Bridges Family Dentistry Pllc is 1184714156. The last update date is 2020-08-22.
Trace Bridges Family Dentistry Pllc's current location address is 2928 Nw Cache Rd, Lawton, Oklahoma. You can contact this provider via phone number 5803558300 and fax number 5803558798. The mailing address for Trace Bridges Family Dentistry Pllc is 2928 Nw Cache Rd, Lawton, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Trace Bridges Family Dentistry Pllc |
|---|---|
| Address | 2928 Nw Cache Rd, Lawton, Oklahoma |
| Phone Number | 5803558300 |
| Fax Number | 5803558798 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Bridges Trace George I. |
| Credentials | DDS |
| Telephone Number | 5805367507 |
NPI Number Detail
| NPI Number | 1184714156 |
|---|---|
| Provider Enumeration Date | 2006-10-13 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2928 Nw Cache Rd |
|---|---|
| City | Lawton |
| State | Oklahoma (OK) |
| Post Code | 735053827 |
| Phone Number | 5803558300 |
| Fax Number | 5803558798 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 5215 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 860044 | OK | UNITED CONCORDIA |
Post Comment/ Review Below
What is the Trace Bridges Family Dentistry Pllc's unique identification number?
The Trace Bridges Family Dentistry Pllc has been assigned the NPI (National Provider Identifier) Number 1184714156 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Trace Bridges Family Dentistry Pllc's facilities are situated?
The facilities of Trace Bridges Family Dentistry Pllc are physically located at the following address: 2928 Nw Cache Rd, Lawton, OK, 735053827.
What is Trace Bridges Family Dentistry Pllc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Trace Bridges Family Dentistry Pllc is General Practice, and the taxonomy code that categorizes this field of expertise is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services assign the 1184714156 to Trace Bridges Family Dentistry Pllc?
The Centers for Medicare & Medicaid Services assigned the 1184714156 to Trace Bridges Family Dentistry Pllc on 2006-10-13.
As of what date were the Trace Bridges Family Dentistry Pllc's details last updated?
The information pertaining to the Trace Bridges Family Dentistry Pllc, including its address, specialty, and other details, was most recently updated on 2020-08-22.