| Buccal Up Dental Lenexa Llc | |
|
13200 W 95th St Lenexa KS 66215-3731 | |
| (913) 888-8333 | |
| Not Available |
| Full Name | Buccal Up Dental Lenexa Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 13200 W 95th St, Lenexa, Kansas |
| Authorized Official Name and Position | Becca Condley (BILLING/CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 9189603070 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Buccal Up Dental Lenexa Llc 5314 S Yale Ave Ste 400 Tulsa OK 74135-6271 Ph: (918) 960-3070 | Buccal Up Dental Lenexa Llc 13200 W 95th St Lenexa KS 66215-3731 Ph: (913) 888-8333 |
| NPI Number | 1255048476 |
|---|---|
| Provider Enumeration Date | 10/28/2022 |
| Last Update Date | 10/28/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255048476 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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