| 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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