| Cannon Family Dentistry | |
|
4720 W Urbana St Broken Arrow OK 74012-5997 | |
| (918) 455-4242 | |
| (918) 455-4244 |
| Full Name | Cannon Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4720 W Urbana St, Broken Arrow, Oklahoma |
| Authorized Official Name and Position | Patricia Cannon (DENTIST) |
| Authorized Official Contact | 9184554242 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cannon Family Dentistry 4720 W Urbana St Broken Arrow OK 74012-5997 Ph: (918) 455-4242 | Cannon Family Dentistry 4720 W Urbana St Broken Arrow OK 74012-5997 Ph: (918) 455-4242 |
| NPI Number | 1346176799 |
|---|---|
| Provider Enumeration Date | 06/23/2026 |
| Last Update Date | 06/23/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346176799 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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