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

Dr Michael J Cisar, DMD & Dr William L Derrickson, DMD, LLC

Organization Dentist · NPI 1689885345

Dr Michael J Cisar, DMD & Dr William L Derrickson, DMD, LLC provides Dentist services in Tinton Falls, New Jersey. Licensed in New Jersey. Registered with an NPI since 2007.

Licensed in
NJ
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

709 Sycamore Ave
Tinton Falls, NJ 07701-4946
Phone: (732) 842-6300
Fax: (732) 842-3467
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DI21287 (NJ)

Record details

NPI number1689885345
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Cisar — Dentist · (732) 842-6300
NPI enumeratedMay 24, 2007
Last updated in NPPESAugust 22, 2020
Mailing address709 Sycamore Ave, Tinton Falls, NJ 07701-4946

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