Buccal Up Dental Sand Springs
NPI 1003408170ActiveOrganization· Dentist, General Practice· Sand Springs, OK
Dentist, General Practice in Sand Springs, Oklahoma, registered in NPPES in February 2021. The authorized official on file is Ron Fernandez, Ceo.
Overview
| NPI | 1003408170 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 9, 2021 |
| Last updated in NPPES | Jun 20, 2024 |
| Certified by provider | Mar 24, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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