Allen Forest Crooms Dds Pa

LBN: Allen Forest Crooms Dds Pa
Allen Forest Crooms Dds Pa is an health care organization with primary practice located at 814 South Tenth Street , Newark NJ 07108-1501. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Allen Forest Crooms Dds Pa can be contacted via phone (973) 824-9085, or through Crooms, Allen Forest via phone (973) 824-9085.

Contact Information

Primary practice address
814 South Tenth Street Newark NJ 07108-1501
Phone: (973) 824-9085
Fax: (973) 621-6447
Website:
Map and Directions
Authorized official contact:
Name: Crooms, Allen Forest DDS PA
Phone: (973) 824-9085

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 22D100662900 New Jersey

Profile Details

NPI number 1598880296
LBN Legal business name Allen Forest Crooms Dds Pa
DBA Doing business as
Authorized official Crooms, Allen Forest DDS PA
Entity Organization
Organization subpart 1 No
Enumeration date Mar 20th, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598880296 NPPES
New Jersey Other 111225 AETNA DMO
New Jersey Other 1009778 AETNA DMO
New Jersey MEDICAID 2688808 AETNA DMO

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