Samuel James Ogden Dmd

NPI #1295843654 in Mer Rouge, Louisiana

Provider Information

NPI Number: 1295843654
Entity Type: Organization
Organization Name: Samuel James Ogden Dmd
Primary Specialty: Dentist - General Practice
Enumeration Date: Aug 27, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 103 SOUTH 20TH STREET
City: Mer Rouge
State: Louisiana
ZIP Code: 71261-0167
Phone: (318) 647-3960

Authorized Official

Name: SAMUEL JAMES OGDEN SR., DMD
Title: PRESIDENT CORPORATION
Phone: (318) 647-3960

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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