Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jessica Lillian Wollenberg, DMD

Individual provider Oral and Maxillofacial Pathology Dentistry · NPI 1770801888

Jessica Lillian Wollenberg, DMD is an Oral Surgery in Randolph, New Jersey. Qualified in 2010, 16 years ago. Accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
16
Licensed in
NJ
In the registry since
2010
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

447 Route 10 Ste 5
Randolph, NJ 07869-2132
Phone: (973) 328-0464
Fax: (973) 328-3405
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Pathology Dentistry (primary) Taxonomy 1223P0106X · Licence 22DI02546000 (NJ)

Record details

NPI number1770801888
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorNo
NPI enumeratedMay 13, 2010
Last updated in NPPESOctober 8, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORAL SURGERY
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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