Lawton Family Dental LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

LAWTON FAMILY DENTAL LLC

Practice address

2928 NW Cache Rd Ste 1
Lawton, OK 73505-3827

Phone

(580) 355-8300

NPI assigned

Feb 23, 2023

Organization subpart

No

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

Authorized official

Name

Brad Nelson

Title

Owner

Phone

(405) 260-6080

Specialties & licenses 1

Addresses

Other names 1

• Bridges Family Dentistry Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joshua Daniel Rogers, DDS

  • Dentist
  • Lawton, OK
  • NPI 1598245086
  NPD

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

{
    "created_epoch": "1677110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707091200000",
    "number": "1992403497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 SE 89TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731356017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2928 NW CACHE RD STE 1",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735053827",
            "telephone_number": "580-355-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWTON FAMILY DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-23",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-260-6080"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bridges Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bridges Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dentist in Lawton, OK
• Providers in Lawton, OK by specialty
• Dentist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; 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.