Dickerson Oral Surgery LLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

DICKERSON ORAL SURGERY LLC

Practice address

80 Dover Chester Rd
Randolph, NJ 07869-1209

Phone

(973) 366-8338

NPI assigned

Nov 19, 2025

Last updated

Nov 19, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Erik Dickerson, DDS MSNPI 1356739007

Title

Owner

Phone

(973) 703-7817

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Erik Scott Dickerson, D.D.S

  • General Practice Dentistry
  • Dover, NJ
  • NPI 1356739007
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1763510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763510400000",
    "number": "1417818626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 DOVER CHESTER RD",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078691209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 DOVER CHESTER RD",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078691209",
            "telephone_number": "973-366-8338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DICKERSON ORAL SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-19",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A",
        "authorized_official_last_name": "DICKERSON",
        "authorized_official_first_name": "ERIK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-703-7817",
        "authorized_official_credential": "DDS MS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gautam T Desai, MD
• Maya Desai, M.D.
• Jeffrey Michael Desimone, DDS
• Andreana Di Bernardo, RD
• Dickerson Dental Group, LLC
• Divine Vagine LLC
• Najah Doka, MD
• Kelly A Donald, APN
• Denise Donnelly
• Dr Parnass General Dentistry LLC (Dr Parnass Family Dentistry)

• Oral and Maxillofacial Surgery (Dentist) in Randolph, NJ
• Providers in Randolph, NJ by specialty
• Oral and Maxillofacial Surgery (Dentist) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.