Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Amanda Kositzke, RDH

Individual provider Dental Hygienist · NPI 1790590396

Amanda Kositzke, RDH is a Dental Hygienist in Waukesha, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2025
Specialties on file
2
What do these letters mean?
RDH — Registered Dental Hygienist
A licensed hygienist who cleans teeth and screens for oral disease.

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Practice location Address checks out

711 W Moreland Blvd Ste 204
Waukesha, WI 53188-2483
Phone: (262) 896-9891
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Hygienist (primary) Taxonomy 124Q00000X · Licence 11225-16 (WI)
Dental Hygienist Taxonomy 124Q00000X · Licence 124Q00000X (WI)

Record details

NPI number1790590396
Entity typeIndividual (Type 1)
GenderFemale
Credentials RDH
Sole proprietorYes
NPI enumeratedFebruary 11, 2025
Last updated in NPPESFebruary 11, 2025
Certification dateFebruary 11, 2025

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