Individual provider · Type 1 NPI

Andrea Bodwell, RDH

Specialist · Wichita, KS

NPI number 1861114654 Active

Practice location

123 N Tyler Rd Ste 100
Wichita, KS 67212-3726

Mailing address

2926 N Wild Rose Ct
Wichita, KS 67205-1638

Other practice locations

  • 2926 N Wild Rose Ct, Wichita, KS 67205-1638 · (316) 640-9049

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist 124Q00000X11111 (KS)
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

6 other providers at this address

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About NPI 1861114654

Andrea Bodwell, RDH's National Provider Identifier is 1861114654, issued on Sep 19, 2022. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Wichita, KS. The record was last updated on Jul 5, 2024.