DR. CARL TODD BRIDGES (NPI# 1013025477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013025477 |
| Entity Type | Individual |
| Full Name | DR. CARL TODD BRIDGES |
| Other Name | DR. C TODD BRIDGES |
| Credential | DDS |
| Practice Address |
1802 Nw 52nd St Lawton OK 73505 |
| Practice Telephone | 5802486700 |
| Practice Fax Number | 5802486716 |
| Mailing Telephone | 5802486700 |
| Mailing Fax Number | 5802486716 |
| Enumeration Date | 2006-08-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 5214 | OK | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | BCBS OK | 731496013001 | 01 |
| Street Address |
1802 NW 52ND ST |
| City | LAWTON |
| State | OK |
| Zip Code | 73505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306101605 | Nathan B Buckner | Dentist | 1802 Nw 52nd St, Lawton, OK 73505-3122 | 2012-07-12 |
| 1306001896 | Bridges Dentistry By Design | Dentist | 1802 Nw 52nd St, Lawton, OK 73505-3122 | 2008-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134744006 | Angela Janell Smith | Case Manager/Care Coordinator | 4904 Nw Smith Ave, Lawton, OK 73505 | 2020-06-16 |
| 1295383990 | Akeemia Lorene Holder | Case Manager/Care Coordinator | Youth Care of Oklahoma, 713 Sw C Avenue, OK 73505 | 2019-08-27 |
| 1225685480 | Healthstat Onsite Clinic Goodyear Vision Center | Preventive Medicine | 1 Goodyear Blvd, Lawton, OK 73505 | 2019-08-22 |
| 1891285300 | Michael Anthony Gray | Case Manager/Care Coordinator | 2218 Nw 36th St, Lawton, OK 73505 | 2018-05-10 |
| 1841797362 | Adeshola T Fatuyi | Case Manager/Care Coordinator | 7301 Sw Lee 635, Lawton, OK 73505 | 2018-04-11 |
| 1912425539 | Heather Shea Morefield | Case Manager/Care Coordinator | 2712 Sw H Ave, Lawton, OK 73505 | 2017-09-04 |
| 1972031367 | Burke Hendricks | Emergency Medicine | 3401 West Gore Boulevard, Lawton, OH 73505 | 2017-05-30 |
| 1932642279 | Helery Vance | Peer Specialist | 1420 Nw Hunter Rd Apt C7, Lawton, OK 73505 | 2016-11-18 |
| 1629523436 | Sebrina Sheppard | Case Manager/Care Coordinator | 3907 Sw Parkridge Blvd., Lawton, OK 73505 | 2016-08-22 |
| 1376913590 | David Lee Atauvich | Registered Nurse | 1515 Lawrie Rd, Lawton, OK 73505 | 2015-09-30 |
| Find all providers in zip 73505 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568923597 | Rick Mingming Campos | Dentist | 1758 Nw 82nd St, Lawton, OK 73505-2356 | 2019-03-31 |
| 1265700405 | Lutz Family Dentistry | Dentist | 60 N. Sheridan, Suite 7, Lawton, OK 73505 | 2011-12-02 |
| 1457679862 | Gary Dean Gardner | Dentist | 1301 West Gore Blvd, Suite 2, Lawton, OK 73501 | 2010-05-10 |
| 1033342464 | Tom Yee Lee | Dentist | 5314 N.w. Cache Road, Lawton, OK 73505 | 2009-09-02 |
| 1235306416 | William Cater Jr., Dds | Dentist | 1412 Nw Sheridan Rd, Lawton, OK 73505-3903 | 2008-05-15 |
| 1225231046 | Juan R Lopez | Dentist | 6941 W Gore Blvd, Lawton, OK 73505-5311 | 2007-06-08 |
| 1326255191 | James Roberts Roberts Jr. | Dentist | 8007 Nw Cheswick Ave, Lawton, OK 73505-4029 | 2007-05-17 |
| 1821136946 | Anitra Michelle Craig | Dentist | 5314 Nw Cache Rd, Lawton, OK 73505-3313 | 2007-02-01 |
| 1932219334 | Robert Boyd Morford IIi | Dentist | 1415 Nw 33 Street, Lawton, OK 73505 | 2006-08-30 |
| 1275646374 | Phillip Lynn Aday | Dentist | 1116 Nw Arlington, Lawton, OK 73507 | 2006-08-16 |
| Find all providers in LAWTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.