Coddington Dental | |
1320 West A Street Lincoln NE 68522-1321 | |
(402) 438-5555 | |
(402) 438-0183 |
Full Name | Coddington Dental |
---|---|
Speciality | Dentist |
Location | 1320 West A Street, Lincoln, Nebraska |
Authorized Official Name and Position | Brad Alderman (DENTIST) |
Authorized Official Contact | 4024385555 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Coddington Dental 1320 West A Street Lincoln NE 68522-1321 Ph: (402) 438-5555 | Coddington Dental 1320 West A Street Lincoln NE 68522-1321 Ph: (402) 438-5555 |
NPI Number | 1265776207 |
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Provider Enumeration Date | 11/15/2012 |
Last Update Date | 11/15/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265776207 | NPI | - | NPPES |
10025116700 | Medicaid | NE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 6483 (Nebraska) | Primary |
122300000X | Dentist | 6889 (Nebraska) | Secondary |
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