Individual provider · Type 1 NPI
Prasanna Kumar Shivapuja, BDS, MDS, DDS, MS ORTHO
Orthodontics and Dentofacial Orthopedics Dentistry · Roseville, MI
Practice location
25979 Kelly Rd
Roseville, MI 48066-4941
Fax (586) 779-0091
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | 14629 (MI) |
Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…
Another provider at this address
Other orthodontics and dentofacial orthopedics dentistry providers in Roseville
About NPI 1710067095
Prasanna Kumar Shivapuja, BDS, MDS, DDS, MS ORTHO's National Provider Identifier is 1710067095, issued on Oct 17, 2006. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Roseville, MI. The record was last updated on Jul 8, 2007.