Buccal Up Dental Harvard PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

BUCCAL UP DENTAL HARVARD PLLC

Doing business as

Hugh McDougall DDS

Practice address

4433 S Harvard Ave
Tulsa, OK 74135-2604

Phone

(918) 742-8775

NPI assigned

Mar 16, 2022

Organization subpart

No

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

Authorized official

Name

Johnna Michelle Jordan

Title

Director of Clinical Operations

Phone

(918) 899-9468

Specialties & licenses 1

Addresses

Other names 1

• Hugh McDougall DDS Doing business as

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

{
    "created_epoch": "1647388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647388800000",
    "number": "1265180400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5314 S YALE AVE STE 400",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741356271",
            "telephone_number": "918-960-3070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4433 S HARVARD AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741352604",
            "telephone_number": "918-742-8775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCCAL UP DENTAL HARVARD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-16",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-16",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "JOHNNA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "DIRECTOR OF CLINICAL OPERATIONS",
        "authorized_official_telephone_number": "918-899-9468"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hugh McDougall DDS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rachael Elizabeth Carman Bryden, PHARMD.
• Sarah Bryson
• Tiffani Bryson
• Andrew Thomas Bubert, DDS
• John Bubert, D.D.S.
• Buccal Up Dental Tulsa PLLC (Dentistry for You Tulsa)
• Buchan Anesthesia Consultants PLLC
• Megan Rian Buchan, M.D.
• Erin Buchanan, AUD
• Jacob Andrew Buchanan, DPT

• Dental Clinic/Center in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Dental Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2022; 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.