Yvonne R. Dejean, DMD

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

2926 Issued in WI

Practice address

806 W 5TH St
Marshfield, WI 54449-2614

Phone

(715) 387-1896

NPI assigned

Aug 29, 2006

Last updated

Sep 14, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315958400000",
    "number": "1912015934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 W 5TH ST",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544492614",
            "telephone_number": "715-387-1896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 W 5TH ST",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544492614",
            "telephone_number": "715-387-1896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEJEAN",
        "first_name": "YVONNE",
        "middle_name": "R.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2011-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "WI",
            "license": "2926",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "WI",
            "license": "2926",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33475400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard A Dart, MD
• Jill Oslund Dasler, O.T. R.
• Amy L. Dean-Wojcik, PA
• Ann Margaret Deckers, FNP
• Brandyn Deitz, DDS
• Caryl Ann Dellinger, MD
• Brett Allen Deml, PHD, FACMG
• Edward C Denny, MD
• Dental Clinic of Marshfield SC
• Kristin Deprey, CSAC

• Oral & Maxillofacial Surgery (D.M.D.) in Marshfield, WI
• Providers in Marshfield, WI by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.