Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Prasanna Kumar Shivapuja, BDS, MDS, DDS, MSORTHO

Individual provider Orthodontics and Dentofacial Orthopedics Dentistry · NPI 1710067095

Dr. Prasanna Kumar Shivapuja, BDS, MDS, DDS, MSORTHO is an Orthodontics and Dentofacial Orthopedics Dentistry in Roseville, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2006
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

25979 Kelly Rd
Roseville, MI 48066-4941
Phone: (586) 779-3440
Fax: (586) 779-0091
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X · Licence 14629 (MI)

Record details

NPI number1710067095
Entity typeIndividual (Type 1)
GenderMale
Credentials BDS , MDS , DDS , MSORTHO
Sole proprietorYes
NPI enumeratedOctober 17, 2006
Last updated in NPPESJuly 8, 2007

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