JEEVAKA YAPA DDS PC; NPI #1457523755

Contact Information

JEEVAKA YAPA DDS PC

30555 GREENFIELD RD
SOUTHFIELD, MI 48076-1594

Phone: 248-262-9100
Fax: 248-262-9104
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Oral and Maxillofacial Surgery	261QS0112X

Indicates primary specialty

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NPI Profile & details for JEEVAKA YAPA DDS PC

NPI # 1457523755

LBN Legal business name JEEVAKA YAPA DDS PC

Authorized official KANESHA CANTY - (OFFICE MANAGER)

Entity Organization

Organization subpart ¹ No

Enumeration date 03/26/2008

Last updated 09/05/2025 - About 9 months ago

Identifiers

MI	License #	16026
MI	Medicaid	12 3259450

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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