TRACE BRIDGES FAMILY DENTISTRY PLLC NPI 1184714156

NPI Information

TRACE BRIDGES FAMILY DENTISTRY PLLC is a general practice dentist in Lawton, OK. The provider is 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. TRACE BRIDGES FAMILY DENTISTRY PLLC NPI is 1184714156. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2928 NW CACHE RD
LAWTON, OK
ZIP 73505-827
Phone: (580) 355-8300
Fax: (580) 355-8798

The provider's authorized official is George I. Trace Bridges .
The authorized official title is Owner and has the following contact phone number (580) 536-7507.

The enumeration date for this NPI number is 10/13/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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