Individual
DR. TIMOTHY R OLINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
10211 DUPONT CIRCLE DRIVE WEST, FORT WAYNE, IN 46825-1625
(260) 490-5437
(260) 490-5210
Mailing address
10211 DUPONT CIRCLE DRIVE WEST, FORT WAYNE, IN 46825-1625
(260) 490-5437
(260) 490-5210
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
12008812
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
108615
CHILDRENS SPECIAL HEALTH
IN
Enumeration date
10/19/2006
Last updated
07/08/2007
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