Provider Demographics
NPI:1952128084
Name:ARC DENTAL PSC
Entity type:Organization
Organization Name:ARC DENTAL PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:ROSARIO CRUZ
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:787-313-0440
Mailing Address - Street 1:EDIFICIO ROCHELAISE CENTER WESTERN INDUSTRIAL PARK
Mailing Address - Street 2:SUITE 301
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00680-1358
Mailing Address - Country:US
Mailing Address - Phone:787-313-0440
Mailing Address - Fax:
Practice Address - Street 1:EDIFICIO ROCHELAISE CENTER
Practice Address - Street 2:WESTERN INDUSTRIAL PARK STE 301
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00680
Practice Address - Country:US
Practice Address - Phone:787-299-1558
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-20
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty
No261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDentalGroup - Single Specialty