Healthcare Provider Details

I. General information

NPI: 1164800306
Provider Name (Legal Business Name): EMILY DAWN HOBART DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2015
Last Update Date: 08/05/2024
Certification Date: 08/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8212 S MARCH POINT RD
ANACORTES WA
98221-8684
US

IV. Provider business mailing address

8212 S MARCH POINT RD
ANACORTES WA
98221-8684
US

V. Phone/Fax

Practice location:
  • Phone: 360-588-2800
  • Fax: 360-588-2808
Mailing address:
  • Phone: 360-588-2800
  • Fax: 360-588-2808

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number60665217
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: