Randolph Center for Oral and Maxillofacial Surgery, LLC

Organization Active NPI Oral and Maxillofacial Surgery (Dentist) · Randolph, NJ

NPI 1932019346 · NPPES record last updated Sep 9, 2026

Key facts

NPI
1932019346
Entity type
Organization (NPI type 2)
Primary specialty
Oral and Maxillofacial Surgery (Dentist) 1223S0112X
Legal business name
RANDOLPH CENTER FOR ORAL AND MAXILLOFACIAL SURGERY, LLC
Practice address
447 Route 10 E Ste 5
Randolph, NJ 07869-2132
Phone
(973) 328-1555
NPI assigned
Sep 9, 2026
Organization subpart
No

Authorized official

Name
Michaela Muniz
Title
VP, Payor Relations
Phone
(469) 324-3242

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)
Group: 193200000X MULTI-SPECIALTY GROUP
1223S0112X Yes
Oral & Maxillofacial Surgery (D.M.D.)
Group: 193200000X MULTI-SPECIALTY GROUP
204E00000X

Addresses

Primary practice location

447 Route 10 E Ste 5
Randolph, NJ 07869-2132

Mailing address

447 Route 10 E Ste 5
Randolph, NJ 07869-2132
Phone (973) 328-1555

Other providers in Randolph, NJ

All providers in Randolph, NJ · Oral and Maxillofacial Surgery (Dentist) in New Jersey

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 9, 2026. Information in NPPES is self-reported and not verified by CMS.
  • NUCC Health Care Provider Taxonomy: specialty names.

Verify at the official NPI Registry.