Provider Demographics
NPI:1417052119
Name:OBLINGER, ANDREW ROGERS (DDS)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:ROGERS
Last Name:OBLINGER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:247 W CATAWBA AVE
Mailing Address - Street 2:
Mailing Address - City:MT HOLLY
Mailing Address - State:NC
Mailing Address - Zip Code:28120
Mailing Address - Country:US
Mailing Address - Phone:704-827-0206
Mailing Address - Fax:704-827-6964
Practice Address - Street 1:247 W CATAWBA AVE
Practice Address - Street 2:
Practice Address - City:MT HOLLY
Practice Address - State:NC
Practice Address - Zip Code:28120
Practice Address - Country:US
Practice Address - Phone:704-827-0206
Practice Address - Fax:704-827-6964
Is Sole Proprietor?:No
Enumeration Date:2006-09-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7016122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
1380341OtherUNITED CONCORDIA
460438OtherTRIGON
NC902EPOtherBLUE CROSS BLUE SHIELD OF
NC89902A3Medicaid