| S J Ogden Dmd | |
|
103 South 20th Street Mer Rouge LA 71261-0167 | |
| (318) 647-3960 | |
| (318) 647-3960 |
| Full Name | S J Ogden Dmd |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 103 South 20th Street, Mer Rouge, Louisiana |
| Authorized Official Name and Position | Samuel James Ogden (PRESIDENT CORPORATION) |
| Authorized Official Contact | 3186473960 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| S J Ogden Dmd Po Box 167 Mer Rouge LA 71261-0167 Ph: (318) 647-3960 | S J Ogden Dmd 103 South 20th Street Mer Rouge LA 71261-0167 Ph: (318) 647-3960 |
| NPI Number | 1295843654 |
|---|---|
| Provider Enumeration Date | 08/27/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295843654 | NPI | - | NPPES |
| 1814016 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 1401 (Louisiana) | Primary |
Robert B Robinson Apdc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 220 Davenport Ave, Mer Rouge, LA 71261 Phone: 318-647-5708 Fax: 318-647-9949 |