Organization

Jeevaka Yapa Dds Pc

May also be knows as New Center Oral & Maxillofacial Surgery

Oral and Maxillofacial Surgery Clinic/Center in Southfield, MI(View on Map)

Legal Business Name

Jeevaka Yapa Dds Pc

Also Known As

New Center Oral & Maxillofacial Surgery

NPI Number

1457523755

NPI Type

Organization

Enumeration Date

03/26/2008

Specialties

(Taxonomies)

Code

261QS0112X

Primary Taxonomy

Yes

Licenses

State

Michigan

License Number

16026

Contact
Information

Purpose

Mailing
Location

Address

29425 NORTHWESTERN HWY
29425 NORTHWESTERN HWY

City

Southfield
Southfield

State

MI
MI

Postal Code

48034-1080
48034-1080

Country

US
US

Telephone Number

(248) 262-9100
(248) 262-9100

Authorized Official

Name

Mrs. Stephanie Mccain

Title or Position

FINANCIAL COORDINATOR

Telephone Number

(248) 262-9100

Identifiers

Identifier

12 3259450

Identifier State

MI

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 11/14/2011

Provider Address