MEDICARE: DR. ANDREW ROGERS OBLINGER DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	7016	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1380341	OTHER		UNITED CONCORDIA
2	460438	OTHER		TRIGON
3	902EP	OTHER	NC	BLUE CROSS BLUE SHIELD OF
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1417052119
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANDREW ROGERS OBLINGER DDS

Provider Business Mailing Address
First Line	:	247 W CATAWBA AVE
Second Line	:
City	:	MT HOLLY
State	:	NC
Zip	:	28120
Country	:	US
Telephone Number	:	704-827-0206
Fax Number	:	704-827-6964

Provider Business Practice Location Address
First Line	:	247 W CATAWBA AVE
Second Line	:
City	:	MT HOLLY
State	:	NC
Zip	:	28120
Country	:	US
Telephone Number	:	704-827-0206
Fax Number	:	704-827-6964

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/14/2006
Last Update Date	:	07/08/2007

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