Provider Demographics
NPI:1386670016
Name:ARC OCEAN COUNTY INC
Entity Type:Organization
Organization Name:ARC OCEAN COUNTY INC
Other - Org Name:ARC DENTAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR HEALTH SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:CORINNE
Authorized Official - Middle Name:ROCK
Authorized Official - Last Name:MALMBERG
Authorized Official - Suffix:
Authorized Official - Credentials:APN-C
Authorized Official - Phone:732-886-4955
Mailing Address - Street 1:1100 ROUTE 70
Mailing Address - Street 2:
Mailing Address - City:WHITING
Mailing Address - State:NJ
Mailing Address - Zip Code:08759-1003
Mailing Address - Country:US
Mailing Address - Phone:732-886-4955
Mailing Address - Fax:732-350-4840
Practice Address - Street 1:101 2ND ST
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08701-3324
Practice Address - Country:US
Practice Address - Phone:732-886-4955
Practice Address - Fax:732-350-4840
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0068021Medicaid