Provider Demographics
NPI:1083372163
Name:VAN HEMERT FAMILY DENTSITRY, PC
Entity Type:Organization
Organization Name:VAN HEMERT FAMILY DENTSITRY, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:VAN HEMERT
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:641-792-4234
Mailing Address - Street 1:320 E 3RD ST N
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:IA
Mailing Address - Zip Code:50208-3255
Mailing Address - Country:US
Mailing Address - Phone:641-792-4234
Mailing Address - Fax:641-792-1157
Practice Address - Street 1:320 E 3RD ST N
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:IA
Practice Address - Zip Code:50208-3255
Practice Address - Country:US
Practice Address - Phone:641-792-4234
Practice Address - Fax:641-792-1157
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-06
Last Update Date:2021-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental