Provider Demographics
NPI:1780807578
Name:DELOACHE, YVONNE ELEANOR (DDS)
Entity type:Individual
Prefix:DR
First Name:YVONNE
Middle Name:ELEANOR
Last Name:DELOACHE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:777 BANNOCK ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80204-4597
Mailing Address - Country:US
Mailing Address - Phone:303-602-3192
Mailing Address - Fax:303-602-2719
Practice Address - Street 1:301 S HIGH ST
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19382-3336
Practice Address - Country:US
Practice Address - Phone:610-696-9135
Practice Address - Fax:610-692-7325
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-10
Last Update Date:2022-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS022216L1223G0001X
CO002046801223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice