Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Kenosha Breeze Family Dental PLLC

Organization Dentist · NPI 1346724044

Kenosha Breeze Family Dental PLLC provides Dentist services in Broken Arrow, Oklahoma. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

901 W Kenosha St
Broken Arrow, OK 74012-8918
Phone: (918) 258-8658
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1346724044
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amanda Lightfoot — Authorized Representative · (214) 702-0708
NPI enumeratedSeptember 18, 2018
Last updated in NPPESMay 8, 2023
Certification dateMay 8, 2023
Mailing address15660 Dallas Pkwy Ste 925, Dallas, TX 75248-3323

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