Dr. Patricia Deanne Cannon , DDS
Dentist - General Practice • Broken Arrow, OK
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Patricia Cannon has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Patricia Cannon, DDS was a registered Dentist - General Practice practicing in Broken Arrow, OK. Throughout an active medical career spanning 1 years, Dr. Cannon provided care at the practice location at 411 W NEW ORLEANS ST until profile deactivation on 2006-03-23.
Practice Location & Contact Primary Location
411 W New Orleans St
Broken Arrow, OK 740112218
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Broken Arrow, OK
Practicing in Broken Arrow, OK (1496 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223G0001X
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.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Registered at 411 W NEW ORLEANS ST, BROKEN ARROW, OK 740112218 (Tel: 9184554242)
Registered at 411 W NEW ORLEANS ST, BROKEN ARROW, OK 740112218 (Tel: 9184554242)
Recorded as PATRICIA CANNON, D.D.S.
Dentist (License #5218 in OK)
Record officially reactivated for active practice on March 27, 2006
Record deactivated on March 23, 2006
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
411 W New Orleans St
Broken Arrow, OK 740112218
Phone: 9184554242
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