Jeevaka Yapa Dds Pc in Southfield - Oral And Maxillofacial Surgery

Jeevaka Yapa Dds Pc - NPI 1457523755

Jeevaka Yapa Dds Pc is a Oral And Maxillofacial Surgery in Southfield, Michigan. Jeevaka Yapa Dds Pc practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Jeevaka Yapa Dds Pc is 1457523755. The last update date is 2011-11-14.

Jeevaka Yapa Dds Pc's current location address is 29425 Northwestern Hwy, Southfield, Michigan. You can contact this provider via phone number 2482629100 and fax number 2482629104. The mailing address for Jeevaka Yapa Dds Pc is 29425 Northwestern Hwy, Southfield, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Organization Jeevaka Yapa Dds Pc
Address 29425 Northwestern Hwy, Southfield, Michigan
Phone Number 2482629100
Fax Number 2482629104
Sole Proprietor --
Credentials --

Authorized Official

Title or Position FINANCIAL
Authorized Official Name Mccain Lavone Stephanie
Telephone Number 2482629100

NPI Number Detail

NPI Number 1457523755
Provider Enumeration Date 2008-03-26
Last Updated Date 2011-11-14

Provider Mailing Address Detail

Address 29425 Northwestern Hwy
City Southfield
State Michigan (MI)
Post Code 480341080
Phone Number 2482629100
Fax Number 2482629104

Provider's Primary Taxonomy Detail

Speciality Oral And Maxillofacial Surgery
Taxonomy 261Qs0112X
Licence No 16026
Definition:
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
12 3259450 MI --

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FAQs about Jeevaka Yapa Dds Pc

What is the unique identifier code issued to Jeevaka Yapa Dds Pc by the Centers for Medicare & Medicaid Services (CMS)?

The Jeevaka Yapa Dds Pc has been assigned the NPI (National Provider Identifier) 1457523755. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete address where Jeevaka Yapa Dds Pc is physically located?

The Jeevaka Yapa Dds Pc is situated at the following address: 29425 Northwestern Hwy, Southfield, MI 480341080.

What is Jeevaka Yapa Dds Pc's area of expertise and its corresponding taxonomy classification?

The Jeevaka Yapa Dds Pc's field of specialization is Oral And Maxillofacial Surgery, and it falls under the taxonomy code 261Qs0112X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services issue the 1457523755 to Jeevaka Yapa Dds Pc?

The Jeevaka Yapa Dds Pc received its 1457523755 assignment from the Centers for Medicare & Medicaid Services on 2008-03-26.

As of what date was the information regarding Jeevaka Yapa Dds Pc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Jeevaka Yapa Dds Pc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2011-11-14.

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