Buccal Up Dental Olathe LLC

Organization Active NPI Dental Clinic/Center · Olathe, KS

NPI 1972235992 · NPPES record last updated Jun 28, 2022

Key facts

NPI
1972235992
Entity type
Organization (NPI type 2)
Primary specialty
Dental Clinic/Center 261QD0000X
Legal business name
BUCCAL UP DENTAL OLATHE LLC
Practice address
11132 S Lone Elm Rd
Olathe, KS 66061-9434
Phone
(913) 780-0123
Fax
(913) 829-9510
NPI assigned
Jun 28, 2022
Organization subpart
No

Authorized official

Name
Rebecca Condley
Title
Credentialing Specialist
Phone
(918) 960-3070

Practitioners 2

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

National Provider Directory

Locations

11132 S Lone Elm Rd
Olathe, KS 66061
Phone (913) 780-0011

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Yes

Addresses

Primary practice location

11132 S Lone Elm Rd
Olathe, KS 66061-9434

Mailing address

5314 S Yale Ave Ste 400
Tulsa, OK 74135-6271
Phone (918) 960-3070

Other identifiers

IdentifierTypeStateIssuer
1376521765OtherKSNPI

Other names

  • Your Olathe Dentist Doing business as

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address bcondley@buccalupdental.com

Other providers in Olathe, KS

All providers in Olathe, KS · Dental Clinic/Center in Kansas

Sources for this page

Verify at the official NPI Registry.