Buccal Up Dental Sand Springs

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

BUCCAL UP DENTAL SAND SPRINGS

Practice address

216 N Lincoln Ave
Sand Springs, OK 74063

Phone

(918) 245-0224

Fax

(918) 245-0534

NPI assigned

Feb 9, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ron Fernandez

Title

Ceo

Phone

(918) 960-3070

Specialties & licenses 1

Addresses

Other names 1

• Dentistry for You Sand Springs Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael V Miller, D.D.S.

  • General Practice Dentistry
  • Sand Springs, OK
  • NPI 1477571628
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1612828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718841600000",
    "number": "1003408170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5314 S YALE AVE.",
            "address_2": "SUITE 400",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74135",
            "telephone_number": "918-960-3070",
            "fax_number": "539-867-1236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 N LINCOLN AVE",
            "city": "SAND SPRINGS",
            "state": "OK",
            "postal_code": "74063",
            "telephone_number": "918-245-0224",
            "fax_number": "918-245-0534"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2522 E Kenosha St",
            "address_purpose": "LOCATION",
            "city": "Broken Arrow",
            "state": "OK",
            "postal_code": "740146712",
            "country_code": "US",
            "telephone_number": "918-215-8060",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4606 E 67th St Ste 312",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741364950",
            "country_code": "US",
            "telephone_number": "918-494-4445",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BUCCAL UP DENTAL SAND SPRINGS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-09",
        "last_updated": "2024-06-20",
        "certification_date": "2021-03-24",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "RON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "918-960-3070"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dentistry for You Sand Springs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Bramlett, B.S
• Brookshire Grocery Company
• Elizabeth Ashley Brown, DPT
• Jack Howard Brown Jr., MD, DPM
• Caitlin Bruns
• Tiffany A Buckley, CPHT, CPB
• Morgan Layne Burgess
• Francine Jera Burghart, M.D.
• Jeff Burkle, PHARM D
• Mekayla Campbell

• General Practice Dentistry in Sand Springs, OK
• Providers in Sand Springs, OK by specialty
• General Practice Dentistry in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.