Individual
GEORGE I BRIDGES III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3811 W GORE BLVD STE 1, LAWTON, OK 73505-6328
(580) 357-4943
(580) 280-4225
Mailing address
8235 NW STONEBRIDGE CT, LAWTON, OK 73505-4127
(580) 591-1641
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5215
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
203345893001
BLUE CROSS/BLUE SHIELD
OK
01
—
860044
UNITED CONCORDIA
PA
Enumeration date
08/14/2006
Last updated
03/19/2026
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