NPI 1063404176 DR. PATRICIA DEANNE CANNON D.D.S. BROKEN ARROW OK. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Dr. Patricia Deanne Cannon - NPI: 1063404176

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: DR. PATRICIA DEANNE CANNON
NPI Number: 1063404176
Entity Type Code: Individual (1)
Gender: F
Credentials: D.D.S.
License Number: 5218
Business Practice Address: 411 W New Orleans St
Broken Arrow, OK - 740112218
Business Phone Number: 9184554242
Business Fax Number: 9184554244
Mailing Address: 411 W New Orleans St,
BROKEN ARROW
State: OK
Postal Code: 740112218
Phone Number: 9184554242
Fax Number: 9184554244
NPI Enumeration Date: 08/16/2005
NPI Last Update Date: 07/08/2007
Replacement NPI: 0
NPI Deactivation Date: 03/23/2006
NPI Reactivation Date: 03/27/2006

Taxonomy Information:

Healthcare Provider Taxonomy: 1223G0001X
License Number: 5218
Healthcare Provider Taxonomy:
(Secondary)
Y
State: OK
Taxonomy Type: Dental Providers
Taxonomy Classification: Dentist
Taxonomy Specialization: General Practice
Taxonomy 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.


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