Provider Demographics
NPI:1033294129
Name:OGDEN AND BROWNING DDS, PLLC
Entity Type:Organization
Organization Name:OGDEN AND BROWNING DDS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:GEROLD
Authorized Official - Middle Name:DALE
Authorized Official - Last Name:OGDEN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:304-842-7591
Mailing Address - Street 1:1221 JOHNSON AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:BRIDGEPORT
Mailing Address - State:WV
Mailing Address - Zip Code:26330-1392
Mailing Address - Country:US
Mailing Address - Phone:304-842-7591
Mailing Address - Fax:304-842-7615
Practice Address - Street 1:1221 JOHNSON AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:BRIDGEPORT
Practice Address - State:WV
Practice Address - Zip Code:26330-1392
Practice Address - Country:US
Practice Address - Phone:304-842-7591
Practice Address - Fax:304-842-7615
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV3810000304Medicaid
WV46984OtherUNITED CONCORDIA