OrganizationActive
Shankle Dental-Broken Arrow PLLC
NPI 1265902183 · General Practice Dentistry · Broken Arrow, OK
Provider details
- NPI number
- 1265902183
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Ron Fernandez, Ceo(918) 960-3070
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2522 E Kenosha St.
Broken Arrow, OK 74014-6712
Phone: (918) 355-1391
Fax: (918) 355-4135
Street-level locationGet directions
Mailing address
5314 S Yale Ave.
Tulsa, OK 74135
Other names (DBA / former)
- Doing business as
- Dentistry for You
Registry dates
- Enumerated
- 2018-12-04
- Last updated
- 2024-06-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.