# INDIAN HILLS COMMUNITY COLLEGE DENTAL HYGIENE CLINIC

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

## Provider details

- **NPI number:** 1881129906
- **Authorized official:** MS. JODY LYNN WILLIAMS RDH, MA (DENTAL HYGIENE PROGRAM DIRECTOR)
- **Authorized official phone:** (641) 683-5120

## Contact information

- **Practice address:** 525 GRANDVIEW AVE, OTTUMWA, IA 52501-1359
- **Practice address phone:** (641) 683-5120
- **Mailing address:** 525 GRANDVIEW AVENUE, OTTUMWA, IA 52501
- **Mailing address phone:** (641) 683-5120

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/26/2017
- **Last updated:** 04/26/2017