Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. PATRICIA DEANNE CANNON, D.D.S.
DeactivatedGeneral Dentistry · BROKEN ARROW, OK
This NPI has been deactivated.
The record was deactivated on March 23, 2006.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1063404176
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 16, 2005 (0.6 yrs)
- Last Updated
- Jul 8, 2007
- Deactivated
- Mar 23, 2006
- License
-
5218 (OK)
Practice Information
- Address
-
411 W NEW ORLEANS STBROKEN ARROW, OK, 740112218Browse OK providers · Browse ZIP 74011
- Phone
- 9184554242
- Fax
- 9184554244
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in BROKEN ARROW, OK
| Name | Credential | NPI |
|---|---|---|
| DR. WESLEY MARK HODGE | DMD | 1861464687 |
| DR. ROBERT BLAINE MONGRAIN JR. | DMD | 1598731655 |
| DR. EVAN DALE CLOTHIER | D.D.S. | 1043261753 |
| DR. STEVE E DEEM | DDS | 1477505253 |
| DR. MICHAEL ARIANA | DDS | 1851348221 |
| DR. MICHAEL A. KINCAID | D.D.S. | 1114951837 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.