NPI 1356107643

Amanda Godfrey

Practitioner Dental Hygienist Grimes, IA

Practice location

Address: 348 SE Cedarwood Dr, Grimes, IA 50111-1143
Phone: (515) 360-0393

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence RDH-04217 (IA)

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Registry record

NPI: 1356107643
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Feb 2024
Record last updated: 22 Sep 2024

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.