Individual provider · Type 1 NPI
Amy Nicholas
Dental Hygienist · Bolivar, MO
Practice location
203 E Broadway St
Bolivar, MO 65613-1623
Mailing address
PO Box 125
Hermitage, MO 65668-0125
Other practice locations
- 18627 Jackson St, Hermitage, MO 65668-8204 · (417) 745-2134
- 3 N State Highway 39, Greenfield, MO 65661-9401 · (417) 637-5933
- 201 W Smith Dr, Stockton, MO 65785-7620 · (417) 276-8884
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Hygienist Primary | 124Q00000X | 2003021669 (MO) |
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…
2 other providers at this address
Other dental hygienist providers in Bolivar
About NPI 1275490237
Amy Nicholas's National Provider Identifier is 1275490237, issued on Jan 9, 2026. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Bolivar, MO. The record was last updated on Jan 9, 2026.