National Provider Identifier Database

JEEVAKA YAPA DDS PC
Oral and Maxillofacial Surgery

The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.


Contact Information

JEEVAKA YAPA DDS PC
30555 GREENFIELD RD
SOUTHFIELD, MI48076-1594
Phone: 248-262-9100
Fax: 248-262-9104
Website:
Specialty Taxonomy Code
* Oral and Maxillofacial Surgery 261QS0112X

* Indicates primary specialty

NPI Profile & details for JEEVAKA YAPA DDS PC

NPI Number 1457523755
Legal business name
LBN
JEEVAKA YAPA DDS PC
Authorized official KANESHA CANTY - (OFFICE MANAGER)
Entity Organization
Organization subpart No
Enumeration date 03/26/2008
Last updated 09/05/2025 - About 9 months ago
Sole proprietor1 Not specified
Identifiers
  • MI License #: 16026
  • MI Medicaid: 12 3259450

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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