DR. KATHLEEN SUE CANNON D.D.S. NPI 1881765717

NPI Information

  • NPI: 1881765717
  • Provider Name: DR. KATHLEEN SUE CANNON, D.D.S.
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • Address: 315 S UTICA AVE
    TULSA, OK
    ZIP 74104
  • Phone: (918) 594-4860

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NPI Details

DR. Kathleen Sue Cannon, D.D.S. is a general practice dentist in Tulsa, OK. The provider is 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. DR. Kathleen Sue Cannon, D.D.S. NPI is 1881765717. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

315 S UTICA AVE
TULSA, OK
ZIP 74104-203
Phone: (918) 594-4860
Fax: (918) 594-4889

The enumeration date for this NPI number is 11/13/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice4593OKLAHOMAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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