AMANDA B. BOLTWOOD DDS PLLC
NPI 1841606332
Dentist in Rochester Hills, MI

Active since July 07, 2014
2490 WALTON BLVD, SUITE 202, ROCHESTER HILLS, MI 48309(248) 656-2244(248) 656-0225 Get Directions Write a Review

NPPES record last updated: July 7, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Amanda B. Boltwood Dds Pllc NPPES

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

AMANDA B. BOLTWOOD DDS PLLC (NPI 1841606332) is a healthcare organization registered as a dentist in Rochester Hills, Michigan and active in the NPI registry since July 2014. The organization lists Amanda Brianne Boltwood, Owner, as its authorized official.

NPPES Registry Identity

NPI1841606332
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameAMANDA B. BOLTWOOD DDS PLLC
Location Address2490 WALTON BLVD, SUITE 202Rochester Hills, MI 48309-1484
Mailing Address2490 Walton Blvd, Suite 202Rochester Hills, MI 48309-1484 · (248) 656-2244 · Fax (248) 656-0225
Fax(248) 656-0225
Organization SubpartNo
Authorized OfficialAmanda Brianne BoltwoodOwner · (248) 656-2244
Enumeration DateJuly 7, 2014
✔ NPI 1841606332 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MI · 2901019600
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
2490 WALTON BLVD, Rochester Hills, MI 48309

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amanda B. Boltwood Dds Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Amanda B. Boltwood DDS PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Oral Surgery
NPI 1225231616
2490 WALTON BLVD STE 202
Rochester Hills, MI 48309
(248) 656-2244
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda B. Boltwood Dds PLLC's NPI number?

The NPI number for Amanda B. Boltwood Dds PLLC is 1841606332. It was assigned to this organization in the NPPES registry on July 7, 2014.

Where is Amanda B. Boltwood Dds PLLC located?

Amanda B. Boltwood Dds PLLC is located at 2490 Walton Blvd Suite 202, Rochester Hills, MI 48309. The listed phone number is (248) 656-2244.

What is Amanda B. Boltwood Dds PLLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Amanda B. Boltwood Dds PLLC enrolled in Medicare?

Yes. Amanda B. Boltwood Dds PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Amanda B. Boltwood Dds PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Oral Surgery) reassigns their Medicare billing to Amanda B. Boltwood Dds PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Amanda B. Boltwood Dds PLLC was last updated on July 7, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.