Provider Demographics
NPI:1629112826
Name:OCEAN ORTHODONTICS, LLLC
Entity Type:Organization
Organization Name:OCEAN ORTHODONTICS, LLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SEZER
Authorized Official - Middle Name:
Authorized Official - Last Name:OLCAY
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:732-493-4747
Mailing Address - Street 1:804 W PARK AVE # A
Mailing Address - Street 2:
Mailing Address - City:OCEAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07712-7272
Mailing Address - Country:US
Mailing Address - Phone:732-493-4747
Mailing Address - Fax:732-493-4742
Practice Address - Street 1:804 W PARK AVE # A
Practice Address - Street 2:
Practice Address - City:OCEAN
Practice Address - State:NJ
Practice Address - Zip Code:07712-7272
Practice Address - Country:US
Practice Address - Phone:732-493-4747
Practice Address - Fax:732-493-4742
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ020746261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental