Organization
CODDINGTON DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRAD ALDERMAN D.D.S. (DENTIST)
(402) 438-5555
Entity
Organization
Contact information
Practice address
1320 WEST A STREET, LINCOLN, NE 68522-1321
(402) 438-5555
(402) 438-0183
Mailing address
1320 WEST A STREET, LINCOLN, NE 68522-1321
(402) 438-5555
(402) 438-0183
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6483
NE
122300000X
Dentist
6889
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025116700
—
NE
Enumeration date
11/15/2012
Last updated
11/15/2012
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