Provider Demographics
NPI:1811053606
Name:AUFDERHEIDE, SARAH E (DDS)
Entity type:Individual
Prefix:DR
First Name:SARAH
Middle Name:E
Last Name:AUFDERHEIDE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:202 SAINT CLAIRE PL
Mailing Address - Street 2:SUITE 200
Mailing Address - City:STEVENSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21666-2118
Mailing Address - Country:US
Mailing Address - Phone:410-604-6915
Mailing Address - Fax:410-604-2358
Practice Address - Street 1:202 SAINT CLAIRE PL
Practice Address - Street 2:SUITE 200
Practice Address - City:STEVENSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21666-2118
Practice Address - Country:US
Practice Address - Phone:410-604-6915
Practice Address - Fax:410-604-2358
Is Sole Proprietor?:No
Enumeration Date:2006-12-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD123311223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice