# CENTRAL COMMUNITY COLLEGE DENTAL HYGIENE CLINIC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487670774
- **Authorized official:** WANDA CLOET R.D.H., M.S. (DENTAL HYGIENE PROGRAM DIRECTOR)
- **Authorized official phone:** (402) 461-2470

## Contact information

- **Practice address:** 3325 E. COMMUNITY DRIVE, HASTINGS, NE 68902-1024
- **Practice address phone:** (402) 461-2468
- **Practice address fax:** (402) 460-2128
- **Mailing address:** 3325 E. COMMUNITY DRIVE, HASTINGS, NE 68902-1024
- **Mailing address phone:** (402) 461-2468
- **Mailing address fax:** (402) 460-2128

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 390200000X | Student in an Organized Health Care Education/Training Program | — | NULL | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | — | — | Yes |

## Other

- **Enumeration date:** 07/14/2006
- **Last updated:** 08/22/2020