Organization · Type 2 NPI
Dickerson Oral Surgery LLC
Oral and Maxillofacial Surgery (Dentist) · Randolph, NJ
NPI number
1417818626
Active
Practice location
80 Dover Chester Rd
Randolph, NJ 07869-1209
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | None listed |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Other oral and maxillofacial surgery (dentist) providers in Randolph
About NPI 1417818626
Dickerson Oral Surgery LLC's National Provider Identifier is 1417818626, issued on Nov 19, 2025. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Randolph, NJ. The record was last updated on Nov 19, 2025.