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Shankle Dental-Broken Arrow Pllc

General Practice Dentistry in Broken Arrow, OK · enumerated 2018 · authorized official Ron Fernandez, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1265902183

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Registry record

Entity type Organization (Type 2)
Legal business name Shankle Dental-Broken Arrow Pllc
Other name <Unavail>
Practice address 2522 E Kenosha St., Broken Arrow, OK, 74014
Fax (918) 355-4135
Enumeration date Dec 4, 2018
Last updated in NPPES Jun 20, 2024

Taxonomy & classification

1223G0001X General Practice Dentistry Dental Providers Primary

Authorized official

Name Ron Fernandez
Title Ceo

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Shankle Dental-Broken Arrow Pllc?
NPPES lists Ron Fernandez (Ceo) as the authorized official for this organization.
What is the NPI number for Shankle Dental-Broken Arrow Pllc?
The NPI for Shankle Dental-Broken Arrow Pllc is 1265902183, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-06-20.