Provider Demographics
NPI:1780937524
Name:HOLMDEL ORTHODONTICS LLC
Entity type:Organization
Organization Name:HOLMDEL ORTHODONTICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position: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:732-847-3065
Mailing Address - Street 1:723 N BEERS ST
Mailing Address - Street 2:2A
Mailing Address - City:HOLMDEL
Mailing Address - State:NJ
Mailing Address - Zip Code:07733-1517
Mailing Address - Country:US
Mailing Address - Phone:732-847-3065
Mailing Address - Fax:
Practice Address - Street 1:723 N BEERS ST
Practice Address - Street 2:2A
Practice Address - City:HOLMDEL
Practice Address - State:NJ
Practice Address - Zip Code:07733-1517
Practice Address - Country:US
Practice Address - Phone:732-847-3065
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-17
Last Update Date:2012-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI02074600261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental