Organization
OGDEN AND BROWNING DDS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEROLD DALE OGDEN DDS (OWNER)
(304) 842-7591
Entity
Organization
Contact information
Practice address
1221 JOHNSON AVE, SUITE 200, BRIDGEPORT, WV 26330-1392
(304) 842-7591
(304) 842-7615
Mailing address
1221 JOHNSON AVE, SUITE 200, BRIDGEPORT, WV 26330-1392
(304) 842-7591
(304) 842-7615
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810000304
—
WV
01
—
46984
UNITED CONCORDIA
WV
Enumeration date
10/26/2006
Last updated
08/22/2020
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