Organization
SAMUEL JAMES OGDEN DMD
Active
Other names
S J Ogden DMD
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL JAMES OGDEN SR. DMD (PRESIDENT CORPORATION)
(318) 647-3960
Entity
Organization
Contact information
Practice address
103 SOUTH 20TH STREET, MER ROUGE, LA 71261-0167
(318) 647-3960
(318) 647-3960
Mailing address
PO BOX 167, MER ROUGE, LA 71261-0167
(318) 647-3960
(318) 647-3960
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1401
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1814016
—
LA
Enumeration date
08/27/2006
Last updated
08/22/2020
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