DR. BRUCE K. REEDER (NPI# 1881725398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881725398 |
| Entity Type | Individual |
| Full Name | DR. BRUCE K. REEDER |
| Credential | DDS, MS |
| 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 | 2007-03-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
5124 | OK | Dental Providers |
| 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 |
| 1205024817 | Bruce K. Reeder, Dds, PC | Clinic/Center | 5108 W Gore Blvd, Suite 4, Lawton, OK 73505-6025 | 2007-10-09 |
| 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 |
| 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 | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447361605 | Roger Groom Johnson | Dentist | 1103 Nw 67th, Lawton, OK 73505 | 2006-08-31 |
| 1942316211 | Richard Foster Mcbride | Dentist | 814 W Gore Blvd, Lawton, OK 73501-3719 | 2006-08-21 |
| 1417335258 | Mason Andrew Dearing | Dentist | 814 W Gore Blvd, Lawton, OK 73501-3719 | 2015-05-13 |
| 1487829974 | Dearing & Jones PC | Dentist | 814 W Gore Blvd, Lawton, OK 73501-3719 | 2008-04-25 |
| 1356510168 | Mathew Lyman Jones | Dentist | 814 W Gore Blvd, Lawton, OK 73501-3719 | 2008-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962013813 | Lake Country Orthodontics | Dentist | 1119 Walnut Dr Ste 4, Ardmore, OK 73401-2360 | 2020-08-13 |
| 1285284919 | Marlo A. Miller Dds, Ms | Dentist | 816 S Mustang Rd, Yukon, OK 73099-6767 | 2019-09-15 |
| 1215480371 | Gabriel Luttrell | Dentist | 421 Nw 10th St, Suite 201-e, Oklahoma City, OK 73103-3909 | 2016-07-25 |
| 1417328170 | Tyler Holt | Dentist | 157 Stonebridge Blvd Apt 2223, Edmond, OK 73013-4773 | 2015-10-07 |
| 1235525734 | Christopher Trockel Orthodontics PC | Dentist | 12345 S Memorial Dr Ste 113, Bixby, OK 74008-2571 | 2015-04-10 |
| 1275921769 | Orthodontic Specialists of Shawnee | Dentist | 18 E Dunloup Rd, Shawnee, OK 74804-3203 | 2015-01-06 |
| 1629474127 | Smile Galaxy Orthodontics | Dentist | 10001 S Pennsylvania Ave Bldg P, Suite #130, Oklahoma City, OK 73159-6923 | 2014-11-10 |
| 1831505999 | Gabriela Restuccia | Dentist | 1201 N Stonewall Ave Rm 449, Oklahoma City, OK 73117-1214 | 2014-07-09 |
| 1962818351 | Dental Depot Orthodontics Sw Okc, Pllc | Dentist | 6217 S Western Ave Ste A, Oklahoma City, OK 73139-1605 | 2014-07-07 |
| 1730502519 | Dental Depot Orthodontics North Okc Pllc | Dentist | 14440 N Penn Ave, Oklahoma City, OK 73134-6003 | 2014-01-29 |
| 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.