Provider Demographics
NPI:1477816098
Name:OLYNIK, CHRISTOPHER RONALD (DMD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:RONALD
Last Name:OLYNIK
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 HERMANN MUSEUM CIRCLE DR
Mailing Address - Street 2:#4103
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77004-7174
Mailing Address - Country:US
Mailing Address - Phone:281-979-0552
Mailing Address - Fax:
Practice Address - Street 1:7500 CAMBRIDGE ST
Practice Address - Street 2:#6444
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-2008
Practice Address - Country:US
Practice Address - Phone:713-486-4311
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-19
Last Update Date:2012-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXUTH330-X390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program