OrganizationActive
Buccal Up Dental Olathe LLC
NPI 1972235992 · Dental Clinic/Center · Olathe, KS
Provider details
- NPI number
- 1972235992
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Rebecca Condley, Credentialing Specialist
Practice location
11132 S Lone Elm Rd
Olathe, KS 66061-9434
Phone: (913) 780-0123
Fax: (913) 829-9510
Mailing address
5314 S Yale Ave Ste 400
Tulsa, OK 74135-6271
Registry dates
- Enumerated
- 2022-06-28
- Last updated
- 2022-06-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.