Individual provider · Type 1 NPI
Jodi Lynn Amdahl, ADT/RDH
Advanced Practice Dental Therapist · Redwood Falls, MN
Practice location
590 W Park Road
Redwood Falls, MN 56283
Fax (507) 627-8894
Mailing address
210 4th Street, PO Box 272
Balaton, MN 56115
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Hygienist | 124Q00000X | H7202 (MN) |
| Advanced Practice Dental Therapist Primary | 125K00000X | DT5 (MN) |
Advanced Practice Dental Therapist: An Advanced Practice Dental Therapist is:<br/>(1) A dental therapist who has completed additional training beyond basic dental therapy education and provides dental services in accordance with state advanced practice dental therapist laws or statutes; or<br/>(2) A dental hygienist with a graduate degree in advanced dental therapy prepared for independent and interdependent decision making and direct accountability f…
About NPI 1407000490
Jodi Lynn Amdahl, ADT/RDH's National Provider Identifier is 1407000490, issued on Nov 4, 2008. The primary taxonomy on file is Advanced Practice Dental Therapist (125K00000X), and the practice location is in Redwood Falls, MN. The record was last updated on Dec 12, 2025.