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KENOSHA BREEZE FAMILY DENTAL PLLC
NPI 1346724044
Dentist in Broken Arrow, OK

Active since September 18, 2018
901 W KENOSHA ST, BROKEN ARROW, OK 74012(918) 258-8658 Get Directions Write a Review

NPPES record last updated: May 8, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 8, 2023, Sep 18, 2018 (2 updates tracked since 2018).

About Kenosha Breeze Family Dental Pllc NPPES

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

KENOSHA BREEZE FAMILY DENTAL PLLC (NPI 1346724044) is a healthcare organization registered as a dentist in Broken Arrow, Oklahoma and active in the NPI registry since September 2018. The organization lists Amanda Lightfoot, Authorized Representative, as its authorized official.

NPPES Registry Identity

NPI1346724044
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameKENOSHA BREEZE FAMILY DENTAL PLLC
Location Address901 W KENOSHA STBroken Arrow, OK 74012-8918
Mailing Address15660 Dallas Pkwy Ste 925Dallas, TX 75248-3323 · (214) 702-0729
Phone(918) 258-8658
Organization SubpartNo
Authorized OfficialAmanda LightfootAuthorized Representative · (214) 702-0708
Enumeration DateSeptember 18, 2018
Last NPPES UpdateMay 8, 20232 updates tracked since enumeration
NPPES CertifiedMay 8, 2023
✔ NPI 1346724044 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
901 W KENOSHA ST, Broken Arrow, OK 74012
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

BRITTANY MACLEOD DDS
Dentist
901 W KENOSHA ST
BROKEN ARROW, OK 74012
Tulsa County (918) 258-8658
DR. DENNIS J. CARLILE D.D.S.
Dentist (General Practice)
901 W KENOSHA ST
BROKEN ARROW, OK 74012
Tulsa County (918) 258-8658

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 Kenosha Breeze Family Dental PLLC's NPI number?

The NPI number for Kenosha Breeze Family Dental PLLC is 1346724044. It was assigned to this organization in the NPPES registry on September 18, 2018.

Where is Kenosha Breeze Family Dental PLLC located?

Kenosha Breeze Family Dental PLLC is located at 901 W Kenosha St, Broken Arrow, OK 74012. The listed phone number is (918) 258-8658.

What is Kenosha Breeze Family Dental PLLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Kenosha Breeze Family Dental PLLC was last updated on May 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.