Breanna Nichole Bodtorf, RDH
Individual provider Active NPI Dental Hygienist · Yeagertown, PA
NPI 1366944290 · NPPES record last updated Apr 13, 2026
Key facts
- NPI
- 1366944290
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dental Hygienist 124Q00000X
- License
- PHDH001234 (PA)
- Practice address
- 21 Mann Avenue
Yeagertown, PA 17099 - Phone
- (717) 240-9697
- NPI assigned
- Mar 7, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DH073123 | PA | MD | Dental Hygienist |
| PHDH001234 | PA | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primary Health Network | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | PHDH001234 | PA | Yes |
| Dental Hygienist | 124Q00000X | DH073123 | PA |
Addresses
Primary practice location
21 Mann Avenue
Yeagertown, PA 17099
Mailing address
21 N Mann Ave
Yeagertown, PA 17099-9610
Other names
- Breanna Nichole Cline
Other providers in Yeagertown, PA
- Johnna-Kay Bilger-Hoar
- Michelle R Bixler
- Brittney J Bomberger
- Allyson Sue Cahill
- Jennifer Ruth Daddario
- Paige Ellen Fetterhoof
- Charles Robert Frey Jr.
All providers in Yeagertown, PA · Dental Hygienist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.