Buccal Up Dental Tulsa PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

BUCCAL UP DENTAL TULSA PLLC

Doing business as

Dentistry for You Tulsa

Practice address

4606 E 67TH St Ste 312
Tulsa, OK 74136-4950

Phone

(918) 494-4445

NPI assigned

Mar 31, 2021

Organization subpart

No

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

Authorized official

Name

Pam Browers

Title

Controller

Phone

(918) 960-3070

Specialties & licenses 1

Addresses

Other names 1

• Dentistry for You Tulsa Doing business as

Locations

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

{
    "created_epoch": "1617148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617148800000",
    "number": "1982282802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 RIVERWALK TER STE 220",
            "city": "JENKS",
            "state": "OK",
            "postal_code": "740375617",
            "telephone_number": "918-960-3070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4606 E 67TH ST STE 312",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741364950",
            "telephone_number": "918-494-4445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCCAL UP DENTAL TULSA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-31",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A",
        "authorized_official_last_name": "BROWERS",
        "authorized_official_first_name": "PAM",
        "authorized_official_title_or_position": "CONTROLLER",
        "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 Tulsa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah Bryson
• Tiffani Bryson
• Andrew Thomas Bubert, DDS
• John Bubert, D.D.S.
• Buccal Up Dental Harvard PLLC (Hugh McDougall DDS)
• Buchan Anesthesia Consultants PLLC
• Megan Rian Buchan, M.D.
• Erin Buchanan, AUD
• Jacob Andrew Buchanan, DPT
• Linda E. Buchanan, LCSW

• General Practice Dentistry in Tulsa, OK
• Providers in Tulsa, 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 Mar 31, 2021; 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.