| Allen Forest Crooms Dds Pa | |
|
814 South Tenth Street Newark NJ 07108-1501 | |
| (973) 824-9085 | |
| (973) 621-6447 |
| Full Name | Allen Forest Crooms Dds Pa |
|---|---|
| Speciality | Dentist |
| Location | 814 South Tenth Street, Newark, New Jersey |
| Authorized Official Name and Position | Allen Forest Crooms (PRESIDENT TREASURER) |
| Authorized Official Contact | 9738249085 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Allen Forest Crooms Dds Pa 814 South Tenth Street Newark NJ 07108-1501 Ph: (973) 824-9085 | Allen Forest Crooms Dds Pa 814 South Tenth Street Newark NJ 07108-1501 Ph: (973) 824-9085 |
| NPI Number | 1598880296 |
|---|---|
| Provider Enumeration Date | 03/20/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598880296 | NPI | - | NPPES |
| 111225 | Other | NJ | AETNA DMO |
| 1009778 | Other | NJ | HORIZON BCBS |
| 2688808 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 22D100662900 (New Jersey) | Primary |
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