Provider Demographics
NPI:1710994819
Name:OLINGER, CHARLES MORGAN (DMD)
Entity Type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:MORGAN
Last Name:OLINGER
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 1:404 MORNINGSIDE DR
Mailing Address - Street 2:
Mailing Address - City:WICHITA FALLS
Mailing Address - State:TX
Mailing Address - Zip Code:76301-3928
Mailing Address - Country:US
Mailing Address - Phone:940-631-8755
Mailing Address - Fax:940-716-9906
Practice Address - Street 1:1616 10TH ST
Practice Address - Street 2:SUITE A
Practice Address - City:WICHITA FALLS
Practice Address - State:TX
Practice Address - Zip Code:76301-4334
Practice Address - Country:US
Practice Address - Phone:940-716-9900
Practice Address - Fax:940-716-9906
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX175051223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice