# CODDINGTON DENTAL

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

## Provider details

- **NPI number:** 1265776207
- **Authorized official:** DR. BRAD ALDERMAN D.D.S. (DENTIST)
- **Authorized official phone:** (402) 438-5555

## Contact information

- **Practice address:** 1320 WEST A STREET, LINCOLN, NE 68522-1321
- **Practice address phone:** (402) 438-5555
- **Practice address fax:** (402) 438-0183
- **Mailing address:** 1320 WEST A STREET, LINCOLN, NE 68522-1321
- **Mailing address phone:** (402) 438-5555
- **Mailing address fax:** (402) 438-0183

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 6483 | NE | Yes |
| 122300000X | Dentist | 6889 | NE | — |

## Other

- **Enumeration date:** 11/15/2012
- **Last updated:** 11/15/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 10025116700 | — | NE |