Provider Demographics
NPI:1568822104
Name:ANDREW R. OBLINGER, DDS, PA
Entity Type:Organization
Organization Name:ANDREW R. OBLINGER, DDS, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:KELLY
Authorized Official - Last Name:BRIDGEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-827-0206
Mailing Address - Street 1:225 WEST HAWTHORNE STREET
Mailing Address - Street 2:
Mailing Address - City:MT. HOLLY
Mailing Address - State:NC
Mailing Address - Zip Code:28120-1603
Mailing Address - Country:US
Mailing Address - Phone:704-827-0206
Mailing Address - Fax:704-827-6964
Practice Address - Street 1:225 WEST HAWTHORNE STREET
Practice Address - Street 2:
Practice Address - City:MT. HOLLY
Practice Address - State:NC
Practice Address - Zip Code:28120-1603
Practice Address - Country:US
Practice Address - Phone:704-827-0206
Practice Address - Fax:704-827-6964
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-24
Last Update Date:2016-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty