Organization Active NPI

American Dental Center, L.L.C.

  • Oral and Maxillofacial Surgery (Dentist)
  • Union, NJ
National Provider Identifier
1972609451
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
AMERICAN DENTAL CENTER, L.L.C.
Practice address
1441 Morris Ave
Union, NJ 07083-3321
Phone
(908) 688-0022
Fax
(908) 851-9079
NPI assigned
Sep 15, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Virginia Wicke
Title
Office Manager
Phone
(908) 688-0022

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X
Periodontics 1223P0300X
Oral and Maxillofacial Surgery (Dentist) 1223S0112X Primary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X
Dental Hygienist 124Q00000X

Addresses

Primary practice location

1441 Morris Ave
Union, NJ 07083-3321

Mailing address

1441 Morris Ave
Union, NJ 07083-3321
Phone (908) 688-0022

National Provider Directory

National Provider Directory

Locations

1441 Morris Ave
Union, NJ 07083
Phone (908) 279-0623

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1972609451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 MORRIS AVE",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070833321",
            "telephone_number": "908-688-0022",
            "fax_number": "908-851-9079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 MORRIS AVE",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070833321",
            "telephone_number": "908-688-0022",
            "fax_number": "908-851-9079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN DENTAL CENTER, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "WICKE",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "908-688-0022"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.