DICKERSON DENTAL GROUP, LLC (NPI# 1144739244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144739244 |
| Entity Type | Organization |
| Organization Name | DICKERSON DENTAL GROUP, LLC |
| Practice Address |
714 Route 10 Randolph NJ 07869 |
| Mailing Address |
25-27 Dickerson St. Dover NJ 07801 |
| Practice Telephone | 9733668338 |
| Practice Fax Number | 9733662178 |
| Mailing Telephone | 9733668338 |
| Mailing Fax Number | 9733662178 |
| Enumeration Date | 2017-09-21 |
| Last Update Date | 2017-09-21 |
| Authorized Official Name | MARTINE CENTRELLA (OFFICE MANAGER) |
| Authorized Official Telephone | 9733668338 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| Street Address |
714 ROUTE 10 |
| City | RANDOLPH |
| State | NJ |
| Zip Code | 07869 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699398149 | Jaclyn Philbin | Dietitian, Registered | 11 Middlebury Boulevard, Suite 9/10, Randolph, NJ 07869 | 2020-05-19 |
| 1548806896 | Daniel Patrick Walsh | Physical Therapist | 390 Route Nj 10, Suite 202, Randolph, NJ 07869 | 2019-11-21 |
| 1518516061 | New Jersey Center for Cognitive and Dialectical Behavior Therapy | Clinic/Center | 1250 Sussex Tpke Ste N, Randolph, NJ 07869 | 2019-09-07 |
| 1396306031 | Marilyn (lynn) G Teale | Specialist/Technologist | 1248 Sussex Tpk, Unit B11, Randolph, NJ 07869 | 2019-06-24 |
| 1497218580 | Christopher Lamorte | Dentist | 390 Nj-10 West, Randolph, NJ 07869 | 2019-04-07 |
| 1982101309 | Essex County Weightloss, LLC | Family Medicine | 81 State Road 10 East, Randolph, NJ 07869 | 2018-04-11 |
| 1699285569 | Raechel Jean Lofaro | Nurse Practitioner | 8 Chestnut Hil Road, Randolph, NJ 07869 | 2017-10-05 |
| 1851800114 | Stephanie Jasinski | Counselor | 19 Harmony Rd, Randolph, NJ 07869 | 2017-09-29 |
| 1053831479 | Melissa Morgan | Pediatrics | College Plaza Pediatrics, 765 Route 10 East, Ste 203, Randolph, NJ 07869 | 2017-06-27 |
| 1013377506 | Brightview Randolph, LLC | Alzheimer Center (Dementia Center) | 175 Quaker Church Road, Randolph, NJ 07869 | 2016-02-26 |
| Find all providers in zip 07869 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841814720 | Zachary Goldstein | Dentist | 1243 Sussex Turnpike, Randolph, NJ 07869-2998 | 2020-06-05 |
| 1497218580 | Christopher Lamorte | Dentist | 390 Nj-10 West, Randolph, NJ 07869 | 2019-04-07 |
| 1972067072 | Randolph Dental Group LLC | Dentist | 1 Frank Leary Way Unit 4, Randolph, MA 02368-4503 | 2019-01-23 |
| 1245779479 | Mary Elizabeth Roberts | Dentist | 8 Laurel Hill Dr, Randolph, NJ 07869-4627 | 2017-02-21 |
| 1265828297 | Grigoriy Efros | Dentist | 20 Fairfield Ave, Randolph, NJ 07869-1420 | 2015-04-07 |
| 1184018061 | Yashashwini Bangalore Marappa | Dentist | 390 Nj-10, Randolph, NJ 07869 | 2015-03-27 |
| 1477677334 | Richard Toyoo Yoshikawa | Dentist | 9 School St, Randolph, VT 05060-1177 | 2007-03-18 |
| 1801955950 | Ross D Werner | Dentist | 125 N High St, Randolph, WI 53956-1267 | 2006-12-06 |
| 1174607493 | Bruce M Seidner | Dentist | 924 Route 10, Randolph, NJ 07869 | 2006-10-24 |
| 1316038268 | Mark Andrew Luttrell | Dentist | 58 S Pleasant St, Randolph, VT 05060-1365 | 2006-09-27 |
| Find all providers in RANDOLPH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.