Kenosha Breeze Family Dental PLLC
NPI 1346724044ActiveOrganization· Dentist· Broken Arrow, OK
Dentist in Broken Arrow, Oklahoma, registered in NPPES in September 2018. The authorized official on file is Amanda Lightfoot, Authorized Representative.
Overview
| NPI | 1346724044 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 18, 2018 |
| Last updated in NPPES | May 8, 2023 |
| Certified by provider | May 8, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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