Breanna Nichole Bodtorf, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

PHDH001234 Issued in PA

Practice address

21 Mann Avenue
Yeagertown, PA 17099

Phone

(717) 240-9697

NPI assigned

Mar 7, 2018

Last updated

Apr 13, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Breanna Nichole Cline Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Primary Health Network

  dba Lewistown Dental Center

  • Federally Qualified Health Center (FQHC)
  • Lewistown, PA
  • NPI 1962880989
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1520380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776038400000",
    "number": "1366944290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 N MANN AVE",
            "city": "YEAGERTOWN",
            "state": "PA",
            "postal_code": "170999610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 MANN AVENUE",
            "city": "YEAGERTOWN",
            "state": "PA",
            "postal_code": "17099",
            "telephone_number": "717-240-9697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODTORF",
        "first_name": "BREANNA",
        "middle_name": "NICHOLE",
        "credential": "RDH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-07",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "PA",
            "license": "PHDH001234",
            "primary": true
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "PA",
            "license": "DH073123",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BREANNA",
            "last_name": "CLINE",
            "middle_name": "NICHOLE",
            "credential": "RDH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Johnna-Kay Bilger-Hoar
• Michelle R Bixler
• Brittney J Bomberger, RN
• Allyson Sue Cahill, M.S.
• Jennifer Ruth Daddario, M. ED.
• Paige Ellen Fetterhoof
• Charles Robert Frey Jr., DC

• Dental Hygienist in Yeagertown, PA
• Providers in Yeagertown, PA by specialty
• Dental Hygienist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.