# BRUCE K. REEDER, DDS, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205024817
- **Authorized official:** MS. MICHELE L. SPENCER (OFFICE MANAGER)
- **Authorized official phone:** (580) 248-7600

## Contact information

- **Practice address:** 5108 W GORE BLVD, SUITE 4, LAWTON, OK 73505-6025
- **Practice address phone:** (580) 248-7600
- **Practice address fax:** (580) 248-7633
- **Mailing address:** 5108 W GORE BLVD, SUITE 4, LAWTON, OK 73505-6025
- **Mailing address phone:** (580) 248-7600
- **Mailing address fax:** (580) 248-7633

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/09/2007
- **Last updated:** 10/09/2007