IndividualActive
Amanda Boldt, RDH
NPI 1083184261 · Dental Hygienist · Mauston, WI
Provider details
- NPI number
- 1083184261
- Entity type
- Individual
- Primary specialty
- Dental HygienistDental Providers
- Credential
- RDH
- Sex
- Female
- Sole proprietor
- No
- License
- 1003309-16 (WI)
Specialties & taxonomies
Dental Providers
Practice location
880 Herriot Dr
Mauston, WI 53948-2031
Phone: (608) 847-6700
Fax: (608) 847-6122
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1440
Wautoma, WI 54982-1440
Registry dates
- Enumerated
- 2018-11-29
- Last updated
- 2018-11-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.