Allen Forest Crooms Dds Pa in Newark - Dentist

Allen Forest Crooms Dds Pa - NPI 1598880296

Allen Forest Crooms Dds Pa is a Dentist in Newark, New Jersey. Allen Forest Crooms Dds Pa practices all healthcare services and medical treatments related to Dentist. The NPI Number for Allen Forest Crooms Dds Pa is 1598880296. The last update date is 2020-08-22.

Allen Forest Crooms Dds Pa's current location address is 814 South Tenth Street, Newark, New Jersey. You can contact this provider via phone number 9738249085 and fax number 9736216447. The mailing address for Allen Forest Crooms Dds Pa is 814 South Tenth Street, Newark, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Organization Allen Forest Crooms Dds Pa
Address 814 South Tenth Street, Newark, New Jersey
Phone Number 9738249085
Fax Number 9736216447
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Crooms Forest Allen
Credentials DDS PA
Telephone Number 9738249085

NPI Number Detail

NPI Number 1598880296
Provider Enumeration Date 2007-03-20
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 814 South Tenth Street
City Newark
State New Jersey (NJ)
Post Code 71081501
Phone Number 9738249085
Fax Number 9736216447

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 22D100662900
Definition:
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
111225 NJ AETNA DMO
1009778 NJ HORIZON BCBS
2688808 NJ --

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FAQs about Allen Forest Crooms Dds Pa

What is the unique identifier code issued to Allen Forest Crooms Dds Pa by the Centers for Medicare & Medicaid Services?

The Allen Forest Crooms Dds Pa has been assigned the NPI (National Provider Identifier) 1598880296. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Allen Forest Crooms Dds Pa's facilities are geographically located?

The facilities of Allen Forest Crooms Dds Pa are physically situated at the following location: 814 South Tenth Street, Newark, NJ, 71081501.

What is Allen Forest Crooms Dds Pa's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Allen Forest Crooms Dds Pa is Dentist, and the taxonomy code that categorizes this field of expertise is 122300000X.

On what date did the Allen Forest Crooms Dds Pa receive its 1598880296 assignment from the Centers for Medicare & Medicaid Services?

The Allen Forest Crooms Dds Pa was assigned its 1598880296 by the Centers for Medicare & Medicaid Services on 2007-03-20.

When was the Allen Forest Crooms Dds Pa's information last updated?

The Allen Forest Crooms Dds Pa's information was last updated on 2020-08-22.

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