OrganizationActive
Jeevaka Yapa DDS PC
NPI 1457523755 · Oral and Maxillofacial Surgery Clinic/Center · Southfield, MI
Provider details
- NPI number
- 1457523755
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kanesha Canty, Office Manager(248) 262-9100
- License
- 16026 (MI)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
30555 Greenfield Rd
Southfield, MI 48076-1594
Phone: (248) 262-9100
Fax: (248) 262-9104
Approximate (ZIP-level) locationGet directions
Mailing address
30555 Greenfield Rd
Southfield, MI 48076-1594
Other names (DBA / former)
- Doing business as
- New Center Oral & Maxillofacial Surgery
Registry dates
- Enumerated
- 2008-03-26
- Last updated
- 2025-09-05
- Certified
- 2025-09-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.