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RANDOLPH CENTER FOR ORAL AND MAXILLOFACIAL SURGERY, PA
NPI 1003860578
Dentist - Oral and Maxillofacial Surgery in Randolph, NJ

Active since May 20, 2006
447 STATE ROUTE 10, SUITE 5, RANDOLPH, NJ 07869(973) 328-1555(973) 328-3405 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Randolph Center For Oral And Maxillofacial Surgery, Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RANDOLPH CENTER FOR ORAL AND MAXILLOFACIAL SURGERY, PA (NPI 1003860578) is a healthcare organization registered as an oral and maxillofacial surgery in Randolph, New Jersey and active in the NPI registry since May 2006. The organization lists Edward A Rosenbaum, Partner, as its authorized official.

NPPES Registry Identity

NPI1003860578
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameRANDOLPH CENTER FOR ORAL AND MAXILLOFACIAL SURGERY, PA
Location Address447 STATE ROUTE 10, SUITE 5Randolph, NJ 07869-2132
Mailing Address447 State Route 10, Suite 5Randolph, NJ 07869-2132 · (973) 328-1555 · Fax (973) 328-3405
Phone(973) 328-1555
Fax(973) 328-3405
Organization SubpartNo
Authorized OfficialEdward A RosenbaumPartner · (973) 328-1555
Enumeration DateMay 20, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1003860578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Licenses✔ Licensed in NJ · DI8562✔ Licensed in NJ · DI13367✔ Licensed in NJ · DI18357✔ Licensed in NJ · DI21013✔ Licensed in NJ · DI22430✔ Licensed in NJ · DI02286202
Definition
An oral and maxillofacial surgery dentist specialized in 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.
447 STATE ROUTE 10, Randolph, NJ 07869
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Other Identifiers 4

Medicaid01987324NY
Medicaid7796609NJ
Medicaid01984078NY
Medicaid1478109NJ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CALIBER DENTAL
Dentist
447 STATE ROUTE 10, SUITE 3
RANDOLPH, NJ 07869
Morris County (973) 537-7500
DR. BRUCE MICHAEL BENEROFE M.D.
Ophthalmology
447 STATE ROUTE 10, SUITE 4
RANDOLPH, NJ 07869
Morris County (973) 361-5440

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Randolph Center For Oral And Maxillofacial Surgery, PA's NPI number?

The NPI number for Randolph Center For Oral And Maxillofacial Surgery, PA is 1003860578. It was assigned to this organization in the NPPES registry on May 20, 2006.

Where is Randolph Center For Oral And Maxillofacial Surgery, PA located?

Randolph Center For Oral And Maxillofacial Surgery, PA is located at 447 State Route 10 Suite 5, Randolph, NJ 07869. The listed phone number is (973) 328-1555.

What is Randolph Center For Oral And Maxillofacial Surgery, PA's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Randolph Center For Oral And Maxillofacial Surgery, PA was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.