Trace Bridges Family Dentistry PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5215 Issued in OK

Legal business name

TRACE BRIDGES FAMILY DENTISTRY PLLC

Practice address

2928 NW Cache Rd
Lawton, OK 73505-3827

Phone

(580) 355-8300

Fax

(580) 355-8798

NPI assigned

Oct 13, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

George I. Trace Bridges III, DDS

Title

Owner

Phone

(580) 536-7507

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• George I Bridges III, D.D.S.

  • General Practice Dentistry
  • Lawton, OK
  • NPI 1275546970
  NPD (past)
• Granger Baertlett Cocke

  • Dentist
  • Lawton, OK
  • NPI 1497648166
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184714156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2928 NW CACHE RD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735053827",
            "telephone_number": "580-355-8300",
            "fax_number": "580-355-8798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2928 NW CACHE RD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735053827",
            "telephone_number": "580-355-8300",
            "fax_number": "580-355-8798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRACE BRIDGES FAMILY DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRIDGES",
        "authorized_official_first_name": "GEORGE I.",
        "authorized_official_middle_name": "TRACE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-536-7507",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "5215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "860044",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Towe
• Heather Towne
• Toy Chiropractic Clinic
• James William Toy, D.C.
• Jon Toyekoyah
• Aaron L Trachte, MD
• Traditions Hospice of Chickasha, LLC
• Alexandra Trammell
• Khanh Van Tran, MDD
• Phuong Le Tran, MD

• General Practice Dentistry in Lawton, OK
• Providers in Lawton, OK by specialty
• General Practice Dentistry in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.