Individual provider · Type 1 NPI

Amy Nicholas

Dental Hygienist · Bolivar, MO

NPI number 1275490237 Active

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

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000X2003021669 (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

See all 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.