Cannon Family Dentistry
Dentist in Broken Arrow, OK. Organization (NPI-2).
NPI number1346166345
StatusActive
Last updated in NPPESJun 25, 2026
Details
- NPI
- 1346166345
- Entity type
- Organization (NPI-2)
- Legal business name
- Cannon Family Dentistry
- Organization subpart
- No
- Enumeration date
- Jun 25, 2026
- Certification date
- Jun 23, 2026
- Last updated
- Jun 25, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | – | – | Yes |
Practice location
4720 W Urbana StBroken Arrow, OK 74012-5997
Phone 918-455-4242 · Fax 918-455-4244
Mailing address
4720 W Urbana StBroken Arrow, OK 74012-5997
Phone 918-455-4242 · Fax 918-455-4244
Authorized official
Patricia Cannon
Dentist
9184554242
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