Provider Demographics
NPI:1881770261
Name:KEITH A. HOOVER, APRIL A. YANDA & ASSOCIATES, INC.
Entity type:Organization
Organization Name:KEITH A. HOOVER, APRIL A. YANDA & ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KEITH
Authorized Official - Middle Name:ARDEN
Authorized Official - Last Name:HOOVER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:330-650-0360
Mailing Address - Street 1:39 MILFORD DR
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:OH
Mailing Address - Zip Code:44236-2727
Mailing Address - Country:US
Mailing Address - Phone:330-650-0360
Mailing Address - Fax:330-656-9308
Practice Address - Street 1:39 MILFORD DR
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:OH
Practice Address - Zip Code:44236-2727
Practice Address - Country:US
Practice Address - Phone:330-650-0360
Practice Address - Fax:330-656-9308
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH16072261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental