Active NPIOrganization

Dickerson Oral Surgery LLC

Dentist, Oral and Maxillofacial Surgery in Randolph, New Jersey

NPI Number1417818626
Practice location
80 Dover Chester RD, Randolph, NJ 07869-1209
Fax
—
Last updated
November 19, 2025

Dickerson Oral Surgery LLC is a healthcare organization based in Randolph, NJ. Dickerson Oral Surgery LLC practices in Randolph, NJ. The NPI Number for Dickerson Oral Surgery LLC is 1417818626. The current practice location address for Dickerson Oral Surgery LLC is 80 Dover Chester RD, Randolph, NJ 07869-1209 and can be reached out via phone at 973-366-8338.

Provider Profile Details

NPI Number
1417818626
Provider Name
Dickerson Oral Surgery LLC
Provider Entity Type
Organization
Address
80 Dover Chester RD, Randolph, NJ 07869-1209
Phone Number
973-366-8338
Primary Taxonomy
Dentist, Oral and Maxillofacial Surgery · 1223S0112X
Organization Subpart
No
Authorized Official
Erik Dickerson, DDS MS · Owner · 973-703-7817
Provider Enumeration Date
November 19, 2025
Last Update Date
November 19, 2025
Certification Date
November 19, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
80 Dover Chester RD
Randolph, NJ 07869-1209
Zip
07869-1209
Phone Number
973-366-8338
Randolph, NJ 07869Get directions →

Provider Business Mailing Address Details

Address
80 Dover Chester RD
Randolph, NJ 07869-1209
City
Randolph
State
NJ
Zip
07869-1209

License Information

Taxonomy
Dentist, Oral and Maxillofacial Surgery · 1223S0112X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dickerson Oral Surgery LLC?

The NPI number of Dickerson Oral Surgery LLC is 1417818626. It was assigned on November 19, 2025 and is currently active in the NPPES registry.

What is the specialty of Dickerson Oral Surgery LLC?

Dickerson Oral Surgery LLC is registered under the primary taxonomy Dentist, Oral and Maxillofacial Surgery (code 1223S0112X).

Where does Dickerson Oral Surgery LLC practice?

The practice location is 80 Dover Chester RD, Randolph, NJ 07869-1209. The office can be reached at 973-366-8338 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1417818626 directly on the NPPES registry website.

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