DR. Prasanna Kumar Shivapuja, BDS,MDS,DDS,MS ORTHO

NPI #1710067095 in Roseville, Michigan

Provider Information

NPI Number: 1710067095
Entity Type: Individual
Name: DR. Prasanna Kumar Shivapuja, BDS,MDS,DDS,MS ORTHO
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - Orthodontics and Dentofacial Orthopedics
Credential: BDS,MDS,DDS,MS ORTHO
Enumeration Date: Oct 17, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 25979 KELLY RD
City: Roseville
State: Michigan
ZIP Code: 48066-4941
Phone: (586) 779-3440

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics	1223X0400X	Primary

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DR. Courtney Anne Martusiewicz, DDS, MS	Dentist - Orthodontics and Dentofacial Orthopedics	Roseville	AI Deep Dive
DR. Louis G. Chmura, D.D.S., M.S.	Dentist - Orthodontics and Dentofacial Orthopedics	Marshall	AI Deep Dive
DR. Brandan Lee Lebourdais, DDS MS	Dentist - Orthodontics and Dentofacial Orthopedics	Bay City	AI Deep Dive

Organizations

Provider Name	Specialty	City
Dentalworks Part of Dentalone	Dentist - Orthodontics and Dentofacial Orthopedics	Roseville	AI Deep Dive

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