Cannon Family Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

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 23, 2026

Last updated

Jun 23, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Patricia CannonNPI 1063404176

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

  • Dentist
  • Broken Arrow, OK
  • NPI 1346166345
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Patricia Deanne Cannon, D.D.S.

  • General Practice Dentistry
  • Broken Arrow, OK
  • NPI 1063404176
  Authorized official Same address or phone

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

{
    "created_epoch": "1782172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782172800000",
    "number": "1346176799",
    "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": "2026-06-23",
        "last_updated": "2026-06-23",
        "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": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 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. (Carefirst Pharmacy)
• Caresource-Tulsa, LLC
• Caring Hearts Home Health, LLC

• General Practice Dentistry in Broken Arrow, OK
• Providers in Broken Arrow, OK by specialty
• General Practice Dentistry in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.