Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jerome Scott Forman, DMD

Individual provider General Practice Dentistry · NPI 1679650931

Dr. Jerome Scott Forman, DMD is a General Practice Dentistry in Kenilworth, New Jersey. Licensed in New Jersey. Registered with an NPI since 2006.

Licensed in
NJ
In the registry since
2006
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

513 Blvd
Kenilworth, NJ 07033-1637
Phone: (908) 276-6652
Fax: (908) 709-4337
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 14638 (NJ)

Record details

NPI number1679650931
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedNovember 1, 2006
Last updated in NPPESJuly 8, 2007
Mailing address513 Boulevard, Kenilworth, NJ 07033-1637

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