Individual provider · Type 1 NPI
Patricia Deanne Cannon, DDS
General Practice Dentistry · Broken Arrow, OK
NPI number
1063404176
Active · reactivated Mar 27, 2006
Practice location
411 W New Orleans St
Broken Arrow, OK 74011-2218
Fax (918) 455-4244
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 5218 (OK) |
General Practice Dentistry: 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.
Another provider at this address
Other general practice dentistry providers in Broken Arrow
- Evan Dale Clothier, DDSGeneral Practice Dentistry Broken Arrow, OK NPI 1043261753
- Bradley Rix Wilson, DDS, MSDGeneral Practice Dentistry Broken Arrow, OK NPI 1053329185
- Michael A. Kincaid, DDSGeneral Practice Dentistry Broken Arrow, OK NPI 1114951837
- Myrna Byers Domoney, DDSGeneral Practice Dentistry Broken Arrow, OK NPI 1124109392
- Tyler Allen Rolland, DDSGeneral Practice Dentistry Broken Arrow, OK NPI 1154996601
- Umang PatelGeneral Practice Dentistry Broken Arrow, OK NPI 1164112181
- Taroniar Sevathas, DMDGeneral Practice Dentistry Broken Arrow, OK NPI 1164305322
- Jonathan Beller, DMDGeneral Practice Dentistry Broken Arrow, OK NPI 1184300311
About NPI 1063404176
Patricia Deanne Cannon, DDS's National Provider Identifier is 1063404176, issued on Aug 16, 2005. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Broken Arrow, OK. The record was last updated on Jul 13, 2026.