Dickerson Dental Group, LLC
NPI 1144739244ActiveOrganization· Dentist· Randolph, NJ
Dentist in Randolph, New Jersey, registered in NPPES in September 2017. The authorized official on file is Martine Centrella, Office Manager.
Overview
| NPI | 1144739244 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 21, 2017 |
| Last updated in NPPES | Sep 21, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other dentists in Randolph
- 1437172715
- 1548588551
- 1720116296
- 1770809030
- 1033252978
- 1104221381
- 1174607493
- 1265828297
- 1487676920
- 1841814720
- 1245779479
- 1043411572