Individual provider · Type 1 NPI

Amanda Boldt, RDH

Dental Hygienist · Mauston, WI

NPI number 1083184261 Active

Practice location

880 Herriot Dr
Mauston, WI 53948-2031

Fax (608) 847-6122

Mailing address

PO Box 1440
Wautoma, WI 54982-1440

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000X1003309-16 (WI)

Dental Hygienist: An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and…

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About NPI 1083184261

Amanda Boldt, RDH's National Provider Identifier is 1083184261, issued on Nov 29, 2018. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Mauston, WI. The record was last updated on Nov 29, 2018.