IndividualActiveAccepts Medicare
Elizabeth Hersey
NPI 1376904516 · Dentist · Auburn, NY
Enrolled with Medicare as Practitioner - Dentist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1376904516
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Sex
- Female
- Sole proprietor
- No
- License
- TLD5246 (ME)
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1578 Clark Street Rd
Suite 1
Auburn, NY 13021-9543
Phone: (315) 252-8500
Street-level locationGet directions
Mailing address
1578 Clark Street Rd
Auburn, NY 13021-9543
Additional practice locations (1)
- 59 Bangor StHoulton, ME 04730-1740Phone: (207) 538-3700
Registry dates
- Enumerated
- 2016-03-16
- Last updated
- 2025-07-16
- Certified
- 2025-07-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.