Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1891327946 Individual Practitioner Male Practitioner

Dr. Jordan Benjamin Mayo , DDS

Dentist - General Practice • Randolph, NJ

Professional Overview & Biography Verified Profile Summary

Dr. Jordan Mayo, DDS is a registered healthcare professional specializing in Dentist - General Practice in Randolph, NJ. Practice services are available at 714 NJ 10 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

714 Nj 10

Randolph, NJ 07869

Telephone 9733668338
Associated Practice Facility / Clinic
🏢 Dickerson Dental Group, Llc Facility NPI 1144739244

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Randolph, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 28.1 Yrs
Regional Practice Density
17 Specialists

Practicing in Randolph, NJ (4316 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-05-28
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License NJ 22DI03033800

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License NY 062013

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Secondary Practice Locations

110 Smithtown Blvd Ste 1

Nesconset, NY 117672075

Phone: 6313828585

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Dr. Scott Dickerson , DMD

Dentist - General Practice

NPI 1053425272

Doctor of Dental Medicine

Dr. Rebecca Aminov , DDS

Dentist - Orthodontics and Dentofacial Orthopedics

NPI 1265106934

Doctor of Dental Surgery

Dr. Erik Dickerson , DDS

Dentist - General Practice

NPI 1356739007

Doctor of Dental Surgery

NPI 1770809030

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
📍
Updated Practice Location June 13, 2025

Registered at 714 NJ 10, RANDOLPH, NJ 07869 (Tel: 9733668338)

📍
Updated Business Mailing Address June 13, 2025

Registered at 11 PINE ST APT 405, MONTCLAIR, NJ 070424380 (Tel: 6312586277)

📍
Updated Practice Location January 10, 2022

Registered at 110 SMITHTOWN BLVD STE 1, NESCONSET, NY 117672075 (Tel: 6313828585)

📍
Updated Business Mailing Address January 10, 2022

Registered at 102 WASHINGTON BLVD, COMMACK, NY 117251730 (Tel: 6312586277)

👤
Provider Name / Credentials Updated January 10, 2022

Recorded as JORDAN MAYO, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 10, 2022

Dentist (License #062013 in NY)

NPI Profile Active February 06, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location February 06, 2020

Registered at 27005 76TH AVE, NEW HYDE PARK, NY 110401496 (Tel: 7184703076)

📍
Updated Business Mailing Address February 06, 2020

Registered at 27005 76TH AVE, NEW HYDE PARK, NY 110401496 (Tel: 7184703076)

👤
Provider Name / Credentials Updated February 06, 2020

Recorded as JORDAN MAYO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 06, 2020

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration February 06, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1891327946
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 06, 2020
Last Update: June 13, 2025
Sole Proprietor: No

Mailing Address

11 Pine St Apt 405

Montclair, NJ 070424380

Phone: 6312586277

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.