NPI 1275490237

Amy Nicholas

Practitioner Dental Hygienist Bolivar, MO

Practice location

Address: 203 E Broadway St, Bolivar, MO 65613-1623
Phone: (417) 328-6334
Mailing address: PO Box 125, Hermitage, MO 65668-0125

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence 2003021669 (MO)

Other Dental Hygienist providers in Missouri →

Registry record

NPI: 1275490237
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Jan 2026
Record last updated: 9 Jan 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.