Provider Demographics
NPI:1184815854
Name:OGDEN, CHERYL A (DMD)
Entity Type:Individual
Prefix:
First Name:CHERYL
Middle Name:A
Last Name:OGDEN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38 NELSON ST
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:NH
Mailing Address - Zip Code:03820-3736
Mailing Address - Country:US
Mailing Address - Phone:603-625-1877
Mailing Address - Fax:603-647-8719
Practice Address - Street 1:2626 BROWN AVE
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03103-6806
Practice Address - Country:US
Practice Address - Phone:603-625-1877
Practice Address - Fax:603-647-8719
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-07
Last Update Date:2016-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NHNH3369122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist