Central Community College Dental Hygiene Clinic

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Legal business name

CENTRAL COMMUNITY COLLEGE DENTAL HYGIENE CLINIC

Practice address

3325 E. Community Drive
Hastings, NE 68902-1024

Phone

(402) 461-2468

Fax

(402) 460-2128

NPI assigned

Jul 14, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Wanda Cloet, R.D.H., M.S.

Title

Dental Hygiene Program Director

Phone

(402) 461-2470

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487670774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3325 E. COMMUNITY DRIVE",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689021024",
            "telephone_number": "402-461-2468",
            "fax_number": "402-460-2128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3325 E. COMMUNITY DRIVE",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689021024",
            "telephone_number": "402-461-2468",
            "fax_number": "402-460-2128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL COMMUNITY COLLEGE DENTAL HYGIENE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CLOET",
        "authorized_official_first_name": "WANDA",
        "authorized_official_title_or_position": "DENTAL HYGIENE PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "402-461-2470",
        "authorized_official_credential": "R.D.H., M.S."
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda L Carruth
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• Crystal Cervantes
• John Alan Cerveny, D.C.

• Student in an Organized Health Care Education/Training Program in Hastings, NE
• Providers in Hastings, NE by specialty
• Student in an Organized Health Care Education/Training Program in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.