# BUCCAL UP DENTAL HARVARD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Hugh McDougall DDS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265180400
- **Authorized official:** JOHNNA MICHELLE JORDAN (DIRECTOR OF CLINICAL OPERATIONS)
- **Authorized official phone:** (918) 899-9468

## Contact information

- **Practice address:** 4433 S HARVARD AVE, TULSA, OK 74135-2604
- **Practice address phone:** (918) 742-8775
- **Mailing address:** 5314 S YALE AVE STE 400, TULSA, OK 74135-6271
- **Mailing address phone:** (918) 960-3070

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/16/2022
- **Last updated:** 03/16/2022