Organization · Type 2 NPI

Randolph Center for Oral and Maxillofacial Surgery, LLC

Oral and Maxillofacial Surgery (Dentist) · Hackettstown, NJ

NPI number 1992615306 Active

Practice location

616 Willow Grove St Ste 4
Hackettstown, NJ 07840-1779

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XNone listed
Oral & Maxillofacial Surgery (D.M.D.) 204E00000XNone 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.

About NPI 1992615306

Randolph Center for Oral and Maxillofacial Surgery, LLC's National Provider Identifier is 1992615306, issued on Sep 9, 2026. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Hackettstown, NJ. The record was last updated on Sep 9, 2026.