Individual provider · Type 1 NPI

Breanna Nichole Bodtorf, RDH

Dental Hygienist · Yeagertown, PA

NPI number 1366944290 Active

Practice location

21 Mann Avenue
Yeagertown, PA 17099

Mailing address

21 N Mann Ave
Yeagertown, PA 17099-9610

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000XPHDH001234 (PA)
Dental Hygienist 124Q00000XDH073123 (PA)

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 1366944290

Breanna Nichole Bodtorf, RDH's National Provider Identifier is 1366944290, issued on Mar 7, 2018. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Yeagertown, PA. The record was last updated on Apr 13, 2026.