Cannon Family Dentistry

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

CANNON FAMILY DENTISTRY

Practice address

4720 W Urbana St
Broken Arrow, OK 74012-5997

Phone

(918) 455-4242

Fax

(918) 455-4244

NPI assigned

Jun 25, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Patricia Cannon

Title

Dentist

Phone

(918) 455-4242

Specialties & licenses 1

Addresses

Tax ID family

Cannon Family Dentistry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Cannon Family Dentistry

  • General Practice Dentistry
  • Broken Arrow, OK
  • NPI 1346176799
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1782345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782345600000",
    "number": "1346166345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4720 W URBANA ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740125997",
            "telephone_number": "918-455-4242",
            "fax_number": "918-455-4244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4720 W URBANA ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740125997",
            "telephone_number": "918-455-4242",
            "fax_number": "918-455-4244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANNON FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-25",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-23",
        "status": "A",
        "authorized_official_last_name": "CANNON",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "918-455-4242"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Dawn Campbell, D.O.
• James R Campbell, D.O.
• Ryanne Vaughn Campbell
• Sara J Campbell, OTRL
• Carol Lynn Canby
• Cannon Family Dentistry
• Patricia Deanne Cannon, D.D.S.
• Careatc - Aspen
• Carefirst Pharmacy Inc.
• Caresource-Tulsa, LLC

• All providers in Broken Arrow, OK
• Dentist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.