# LANSING COMMUNITY COLLEGE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lansing Community College Dental Hygiene Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467501130
- **Authorized official:** MRS. SHERRY KOHLMANN MA, RDH, RDA (ACADEMIC TEAM LEADER - DENTAL PRGM.)
- **Authorized official phone:** (517) 483-1457

## Contact information

- **Practice address:** 515 N. WASHINGTON SQ., LANSING, MI 48933
- **Practice address phone:** (517) 483-1458
- **Practice address fax:** (517) 483-9925
- **Mailing address:** PO BOX 40010, MC 3100 DENTAL HYGIENE PROGRAM, LANSING, MI 48901-7210
- **Mailing address phone:** (517) 483-1458
- **Mailing address fax:** (517) 483-9925

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 88024 | MI | Yes |

## Other

- **Enumeration date:** 01/10/2007
- **Last updated:** 08/22/2020