Buccal Up Dental Harvard Pllc | |
4433 S Harvard Ave Tulsa OK 74135-2604 | |
(918) 742-8775 | |
Not Available |
Full Name | Buccal Up Dental Harvard Pllc |
---|---|
Speciality | Clinic/center - Dental |
Location | 4433 S Harvard Ave, Tulsa, Oklahoma |
Authorized Official Name and Position | Johnna Michelle Jordan (DIRECTOR OF CLINICAL OPERATIONS) |
Authorized Official Contact | 9188999468 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Buccal Up Dental Harvard Pllc 5314 S Yale Ave Ste 400 Tulsa OK 74135-6271 Ph: (918) 960-3070 | Buccal Up Dental Harvard Pllc 4433 S Harvard Ave Tulsa OK 74135-2604 Ph: (918) 742-8775 |
NPI Number | 1265180400 |
---|---|
Provider Enumeration Date | 03/16/2022 |
Last Update Date | 03/16/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265180400 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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