IndividualActive
Amanda Beversdorf, RDH
NPI 1184021230 · Dental Hygienist · Wausau, WI
Provider details
- NPI number
- 1184021230
- Entity type
- Individual
- Primary specialty
- Dental HygienistDental Providers
- Credential
- RDH
- Sex
- Female
- Sole proprietor
- No
- License
- 10617-016 (WI)
Specialties & taxonomies
Dental Providers
Practice location
413 N 17th Ave
Wausau, WI 54401
Phone: (715) 842-4649
Approximate (ZIP-level) locationGet directions
Mailing address
413 N 17th Ave
Wausau, WI 54401
Registry dates
- Enumerated
- 2014-12-04
- Last updated
- 2014-12-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.