MRS. AMANDA MARIE BEVERSDORF RDH
NPI 1184021230
Dental Hygienist in Wausau, WI

Q: What is Amanda Beversdorf's NPI number?

The NPI number for Amanda Beversdorf is 1184021230. It was assigned to this individual provider in the NPPES registry on December 4, 2014.

Q: What is Amanda Beversdorf's specialty?

The primary specialty registered for this NPI is Dental Hygienist with taxonomy code 124Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Amanda Beversdorf was last updated on December 4, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since December 04, 2014

413 N 17TH AVE, WAUSAU, WI 54401(715) 842-4649 Get Directions Write a Review

NPPES record last updated: December 4, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Mrs. Amanda Marie Beversdorf Rdh NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. AMANDA MARIE BEVERSDORF RDH (NPI 1184021230) is an individual dental hygienist in Wausau, Wisconsin, licensed in Wisconsin (10617-016) and active in the NPI registry since December 2014.

NPPES Registry Identity

NPI1184021230

Entity TypeIndividualFemale

Primary Taxonomy124Q00000X

Provider Legal NameMRS. AMANDA MARIE BEVERSDORFCredential: RDH

Location Address413 N 17TH AVEWausau, WI 54401

Mailing Address413 N 17th AveWausau, WI 54401 · (715) 842-4649

Phone(715) 842-4649

Sole ProprietorNo

Enumeration DateDecember 4, 2014

✔ NPI 1184021230 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDental HygienistDental Providers

Taxonomy Code124Q00000X

License✔ Licensed in WI · 10617-016

Definition

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 regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.

413 N 17TH AVE, Wausau, WI 54401

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BETSY A. NESS RDH

Dental Hygienist