Gerald Dale Ogden, DDS
Dentist in Bridgeport, WV. Individual provider (NPI-1).
NPI number1700936697
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1700936697
- Entity type
- Individual (NPI-1)
- Name
- Mr. Gerald Dale Ogden
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 11, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 2006 | WV | Yes |
Practice location
1221 Johnson AveSuite 200
Bridgeport, WV 26330-1392
Phone 304-842-7591
Mailing address
1221 Johnson AveSuite 200
Bridgeport, WV 26330-1392
Phone 304-842-7591
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All 18 Dentist providers in Bridgeport · All 1,140 providers in Bridgeport
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