Healthcare Provider Details

I. General information

NPI: 1447183603
Provider Name (Legal Business Name): ESCANABA SMILE CENTER PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/06/2026
Last Update Date: 06/06/2026
Certification Date: 06/06/2026
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: 207-266-8162
  • Fax:
Mailing address:
  • Phone: 207-266-8162
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. SARAH HOFFMEISTER
Title or Position: GENERAL DENTIST
Credential: DMD
Phone: 207-266-8162