Dr. Jerome S Forman, DMD
Dentist, General Practice in Kenilworth, New Jersey
1679650931- Practice location
- 513 Boulevard, Kenilworth, NJ 07033-1637
- Phone
- 908-276-6652
- Fax
- 908-709-4337
- Last updated
- July 8, 2007
Jerome Scott Forman is a Dentist, General Practice based in Kenilworth, NJ. Jerome Scott Forman practices in Kenilworth, NJ and has the professional credentials of DMD. The NPI Number for Jerome Scott Forman is 1679650931 and holds a License No. 14638 (NJ). The current practice location address for Jerome Scott Forman is 513 Boulevard, Kenilworth, NJ 07033-1637 and can be reached out via phone at 908-276-6652 and via fax at 908-709-4337.
Provider Profile Details
- NPI Number
- 1679650931
- Provider Name
- Jerome Scott Forman
- Credential
- DMD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 513 Boulevard, Kenilworth, NJ 07033-1637
- Phone Number
- 908-276-6652
- Fax Number
- 908-709-4337
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Sole Proprietor
- No
- Provider Enumeration Date
- November 1, 2006
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 513 Boulevard
Kenilworth, NJ 07033-1637 - City
- Kenilworth
- State
- New Jersey
- Zip
- 07033-1637
- Phone Number
- 908-276-6652
- Fax Number
- 908-709-4337
Provider Business Mailing Address Details
- Address
- 513 Boulevard
Kenilworth, NJ 07033-1637 - City
- Kenilworth
- State
- NJ
- Zip
- 07033-1637
- Phone Number
- 908-276-6652
- Fax Number
- 908-709-4337
License Information
- License Number
- 14638
- License State
- NJ
- Taxonomy
- Dentist, General Practice · 1223G0001X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentist, General Practice providers near Kenilworth, NJ
View all Dentist, General Practice providers in Kenilworth →- Ann Liu LLCDentist, General Practice · NPI 1699310516
- David A Steele, DMDDentist, General Practice · NPI 1679610166
- Derkasch Dental Health Associates PADentist, General Practice · NPI 1881874063
- Dr. Cyrus G Dehkan, DDSDentist, General Practice · NPI 1518175603
- Dr. William J Derkasch, DDSDentist, General Practice · NPI 1801910716
- Kenilworth Dental Associates, LLCDentist, General Practice · NPI 1710064977
Frequently Asked Questions
What is the NPI number of Dr. Jerome S Forman, DMD?
The NPI number of Dr. Jerome S Forman, DMD is 1679650931. It was assigned on November 1, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. Jerome S Forman, DMD?
Dr. Jerome S Forman, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number 14638.
Where does Dr. Jerome S Forman, DMD practice?
The practice location is 513 Boulevard, Kenilworth, NJ 07033-1637. The office can be reached at 908-276-6652 (phone) or 908-709-4337 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1679650931 directly on the NPPES registry website.