Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. PRASANNA KUMAR SHIVAPUJA, BDS,MDS,DDS,MS ORTHO
Active Sole ProprietorDR. PRASANNA KUMAR SHIVAPUJA, BDS,MDS,DDS,MS ORTHO is a Orthodontics healthcare provider located in ROSEVILLE, Michigan. NPI 1710067095 is currently active in the NPPES registry. Verify at CMS.
Orthodontics · ROSEVILLE, MI
Registration Details
- NPI Number
- 1710067095
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 17, 2006 (19.822285864089 yrs)
- Last Updated
- Jul 8, 2007
- License
-
14629 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
25979 KELLY RDROSEVILLE, MI, 480664941Browse MI providers · Browse ZIP 48066
- Phone
- 5867793440
- Fax
- 5867790091
- Primary Specialty
-
Orthodontics
1223X0400X
Other Orthodontics Providers in ROSEVILLE, MI
| Name | Credential | NPI |
|---|---|---|
| DR. COURTNEY ANNE MARTUSIEWICZ | DDS, MS | 1609130632 |
| THOMAS CHAE | — | 1306220041 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.