DR. PATRICIA DEANNE CANNON D.D.S.
NPI 1063404176
Dentist - General Practice in Broken Arrow, OK

Q: What is Patricia Cannon's NPI number?

The NPI number for Patricia Cannon is 1063404176. It was assigned to this individual provider in the NPPES registry on August 16, 2005.

Q: What is Patricia Cannon's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Patricia Cannon was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 16, 2005

411 W NEW ORLEANS ST, BROKEN ARROW, OK 74011(918) 455-4242(918) 455-4244 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Patricia Deanne Cannon D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PATRICIA DEANNE CANNON D.D.S. (NPI 1063404176) is an individual general practice provider in Broken Arrow, Oklahoma, licensed in Oklahoma (5218) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1063404176

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameDR. PATRICIA DEANNE CANNONCredential: D.D.S.

Location Address411 W NEW ORLEANS STBroken Arrow, OK 74011-2218

Mailing Address411 W New Orleans StBroken Arrow, OK 74011-2218 · (918) 455-4242 · Fax (918) 455-4244

Phone(918) 455-4242

Fax(918) 455-4244

Enumeration DateAugust 16, 2005

Last NPPES UpdateJuly 8, 2007

✔ NPI 1063404176 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in OK · 5218

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

411 W NEW ORLEANS ST, Broken Arrow, OK 74011

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CENTERLINE HEALTH LLC

Chiropractor

411 W NEW ORLEANS ST, SUITE D
BROKEN ARROW, OK 74011

Tulsa County (918) 455-0118

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Patricia Cannon's NPI number?

The NPI number for Patricia Cannon is 1063404176. It was assigned to this individual provider in the NPPES registry on August 16, 2005.

Where is Patricia Cannon located?

Patricia Cannon practices at 411 W New Orleans St, Broken Arrow, OK 74011. The listed phone number is (918) 455-4242.

What is Patricia Cannon's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Patricia Cannon was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.