NPI 1003408170
Buccal Up Dental Sand Springs
Practice location
- Address
- 216 N Lincoln Ave, Sand Springs, OK 74063
- Phone
- (918) 245-0224
- Fax
- (918) 245-0534
- Mailing address
- 5314 S Yale Ave. Suite 400, Tulsa, OK 74135
Authorised official
- Name
- Ron Fernandez
- Title
- Ceo
- Phone
- (918) 960-3070
Registered specialties
General Practice Dentistry
Primary
Registry record
- NPI
- 1003408170
- Entity type
- Organization
- NPI issued
- 9 Feb 2021
- Record last updated
- 20 Jun 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.