OrganizationActive
Kenosha Breeze Family Dental PLLC
NPI 1346724044 · Dentist · Broken Arrow, OK
Kenosha Breeze Family Dental PLLC is a Dentist organization in Broken Arrow, OK (NPI 1346724044).
Provider details
- NPI number
- 1346724044
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Amanda Lightfoot, Authorized Representative(214) 702-0708
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
901 W Kenosha St
Broken Arrow, OK 74012-8918
Phone: (918) 258-8658
Street-level locationGet directions
Mailing address
15660 Dallas Pkwy Ste 925
Dallas, TX 75248-3323
Registry dates
- Enumerated
- 2018-09-18
- Last updated
- 2023-05-08
- Certified
- 2023-05-08
Frequently asked questions
- What is Kenosha Breeze Family Dental PLLC's NPI number?
- Kenosha Breeze Family Dental PLLC's National Provider Identifier (NPI) is 1346724044, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kenosha Breeze Family Dental PLLC?
- Kenosha Breeze Family Dental PLLC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Kenosha Breeze Family Dental PLLC located?
- Kenosha Breeze Family Dental PLLC's practice location on file with NPPES is 901 W Kenosha St, Broken Arrow, OK 74012-8918.
- What is Kenosha Breeze Family Dental PLLC's phone number?
- The practice phone number listed in the NPPES registry for Kenosha Breeze Family Dental PLLC is (918) 258-8658.
- Who is the authorized official for Kenosha Breeze Family Dental PLLC?
- The authorized official listed on Kenosha Breeze Family Dental PLLC's NPPES record is Amanda Lightfoot, Authorized Representative. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kenosha Breeze Family Dental PLLC's NPI active?
- Yes — Kenosha Breeze Family Dental PLLC's NPI (1346724044) is active in the NPPES registry as of the last update on 2023-05-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.