Provider Demographics
NPI:1912361247
Name:VAN HOOF, YVONNE MARTEN (DDS)
Entity Type:Individual
Prefix:DR
First Name:YVONNE
Middle Name:MARTEN
Last Name:VAN HOOF
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:MS
Other - First Name:YVONNE
Other - Middle Name:MICHELLE
Other - Last Name:MARTEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8420 S 71ST PLZ STE 107
Mailing Address - Street 2:
Mailing Address - City:PAPILLION
Mailing Address - State:NE
Mailing Address - Zip Code:68133-2304
Mailing Address - Country:US
Mailing Address - Phone:317-409-9363
Mailing Address - Fax:
Practice Address - Street 1:8420 S 71ST PLZ STE 107
Practice Address - Street 2:
Practice Address - City:PAPILLION
Practice Address - State:NE
Practice Address - Zip Code:68133-2304
Practice Address - Country:US
Practice Address - Phone:402-934-7550
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-12
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE137122300000X
390200000X
NE7358122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program