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ALLEN FOREST CROOMS DDS PA NPI 1598880296


NPI Information

NPI: 1598880296
Provider Name: ALLEN FOREST CROOMS DDS PA
Classification: Dentist - 122300000X
Entity Type: Organization
Address:
814 SOUTH TENTH STREET
NEWARK, NJ
ZIP 07108
Phone: (973) 824-9085
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ALLEN FOREST CROOMS DDS PA is a dentist in Newark, NJ. The provider is 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: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. ALLEN FOREST CROOMS DDS PA NPI is 1598880296. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

814 SOUTH TENTH STREET
NEWARK, NJ
ZIP 07108-501
Phone: (973) 824-9085
Fax: (973) 621-6447

The provider's authorized official is Allen Forest Crooms .
The authorized official title is President Treasurer and has the following contact phone number (973) 824-9085.

The enumeration date for this NPI number is 3/20/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1122300000XDentist22D100662900NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12688808MEDICAIDNEW JERSEY
21009778OTHERNEW JERSEYHORIZON BCBS
3111225OTHERNEW JERSEYAETNA DMO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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