Yapa, Jeevaka

Yapa, Jeevaka is an individual health care provider with primary practice located at 30555 Greenfield Rd , Southfield MI 48076-1594. He recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Pathology, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Yapa, Jeevaka can be contacted via phone (248) 262-9100.

Contact Information

Primary practice address
30555 Greenfield Rd Southfield MI 48076-1594
Phone: (248) 262-9100
Fax: (248) 262-9104
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Pathology 1223P0106X 2901016026 Michigan
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 16026 Michigan

Profile Details

NPI number 1013957281
LBN Legal business name Yapa, Jeevaka
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Oct 22nd, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013957281 NPPES
Michigan Other 2901016026 STATE LICENSE
Michigan Other 1457523755 STATE LICENSE

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