Organization
CANNON FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA CANNON (DENTIST)
(918) 455-4242
Entity
Organization
Contact information
Practice address
4720 W URBANA ST, BROKEN ARROW, OK 74012-5997
(918) 455-4242
(918) 455-4244
Mailing address
4720 W URBANA ST, BROKEN ARROW, OK 74012-5997
(918) 455-4242
(918) 455-4244
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/23/2026
Last updated
06/23/2026
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