Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kenosha Breeze Family Dental PLLC

Organization Dentist · NPI 1346724044

Kenosha Breeze Family Dental PLLC is a Dentist 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.

See every abbreviation used in this directory →

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

Other providers in Broken Arrow