Organization

Allen Forest Crooms Dds Pa

Dentist in Newark, NJ(View on Map)

Legal Business Name

Allen Forest Crooms Dds Pa

NPI Number

1598880296

NPI Type

Organization

Enumeration Date

03/20/2007

Specialties

(Taxonomies)

Name

Code

122300000X

Primary Taxonomy

Yes

Licenses

State

New Jersey

License Number

22D100662900

Contact
Information

Purpose

Mailing
Location

Address

814 SOUTH TENTH STREET
814 SOUTH TENTH STREET

City

Newark
Newark

State

NJ
NJ

Postal Code

07108-1501
07108-1501

Country

US
US

Telephone Number

(973) 824-9085
(973) 824-9085

Authorized Official

Name

Dr. Allen Crooms

Title or Position

PRESIDENT TREASURER

Telephone Number

(973) 824-9085

Identifiers

Identifier

111225
1009778
2688808

Identifier State

NJ
NJ
NJ

Identifier Issuer

AETNA DMO
HORIZON BCBS
Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/22/2020

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