BRUCE K. REEDER, DDS, PC (NPI# 1205024817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205024817 |
| Entity Type | Organization |
| Organization Name | BRUCE K. REEDER, DDS, PC |
| Practice Address |
5108 W Gore Blvd Suite 4 Lawton OK 73505-6025 |
| Practice Telephone | 5802487600 |
| Practice Fax Number | 5802487633 |
| Mailing Telephone | 5802487600 |
| Mailing Fax Number | 5802487633 |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2007-10-09 |
| Authorized Official Name | MS. MICHELE L. SPENCER (OFFICE MANAGER) |
| Authorized Official Telephone | 5802487600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TYPE I NPI | 1881725398 | 01 |
| Street Address |
5108 W GORE BLVD SUITE 4 |
| City | LAWTON |
| State | OK |
| Zip Code | 73505-6025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720036122 | Suhas Damodar Agte | Internal Medicine | 5108 W Gore Blvd, Suite 2, Lawton, OK 73505-6025 | 2006-05-05 |
| 1922296805 | Southern Oklahoma Infectious Diseases Consultants, PC | Internal Medicine | 5108 W Gore Blvd, Suite 1, Lawton, OK 73505-6025 | 2007-10-04 |
| 1477746279 | Jayrone Galera Cortez | Chiropractor | 5108 W Gore Blvd, Suite 6, Lawton, OK 73505-6025 | 2007-08-24 |
| 1649478447 | Suhas D Agte Md PC | Internal Medicine | 5108 W Gore Blvd, Suite2, Lawton, OK 73505-6025 | 2007-07-03 |
| 1801913629 | Gabriel Quinones-nazario | Internal Medicine | 5108 W Gore Blvd, Suite 1, Lawton, OK 73505-6025 | 2007-03-25 |
| 1881725398 | Bruce K. Reeder | Dentist | 5108 W Gore Blvd, Suite 4, Lawton, OK 73505-6025 | 2007-03-08 |
| 1740215235 | Lawton Nephrology | Internal Medicine | 5108 W Gore Blvd, Ste 2, Lawton, OK 73505-6025 | 2006-07-12 |
| 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 | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053635615 | Robert L Miracle, Dmd, PC | Clinic/Center | 1810 Nw Ferris Ave, Lawton, OK 73507-5625 | 2010-03-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609474758 | Sand Springs Dentistry and Braces | Clinic/Center | 152 W. Alexander Blvd, Ste E, Sand Springs, OK 74063 | 2020-10-12 |
| 1831796580 | Perry Smiles LLC | Clinic/Center | 505 N 14th St Ste B, Perry, OK 73077-5000 | 2020-10-06 |
| 1518578095 | Summer Dental Midwest City, Pllc | Clinic/Center | 1900 S Air Depot Blvd Ste 1, Midwest City, OK 73110-5522 | 2020-08-10 |
| 1922626639 | Dental Lodge of Purcell | Clinic/Center | 1929 S Green Ave, Purcell, OK 73080-6203 | 2020-07-09 |
| 1821616533 | Enhance Dental of Norman | Clinic/Center | 1049 12th Ave Ne # 100, Norman, OK 73071-5312 | 2020-07-09 |
| 1164049185 | Custom Dental of Yukon, Pllc | Clinic/Center | 4425 Grant Blvd, Yukon, OK 73099 | 2020-06-26 |
| 1720600174 | Piedmont Dentistry & Braces | Clinic/Center | 12000 Nw Expressway, Yukon, OK 73099 | 2020-05-08 |
| 1073135588 | Yukon Dentistry & Braces | Clinic/Center | 901 E Main Street, Suite 100, Yukon, OK 73099 | 2020-05-07 |
| 1265052062 | Ada Dentistry and Braces | Clinic/Center | 931 Arlington St Ste 3, Ada, OK 74820-4025 | 2020-04-21 |
| 1225657133 | Impressions Dental of Harrah | Clinic/Center | 20926 Se 29th St Ste A, Harrah, OK 73045-6610 | 2020-04-10 |
| Find all providers with the same taxonomy | ||||
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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.