Healthcare Provider Details

I. General information

NPI: 1508261876
Provider Name (Legal Business Name): SARAH ELIZABETH HOFFMEISTER D.M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARAH ELIZABETH AHERN DMD

II. Dates (important events)

Enumeration Date: 10/29/2014
Last Update Date: 06/30/2023
Certification Date: 06/30/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

429 S LINCOLN RD
ESCANABA MI
49829-1210
US

IV. Provider business mailing address

6118 WOODLAND P.1 AVE
GLADSTONE MI
49837-2620
US

V. Phone/Fax

Practice location:
  • Phone: 906-786-7878
  • Fax:
Mailing address:
  • Phone: 207-266-8162
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number2901601184
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: