Organization
BONELL MCBROOM JR DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BONELL MCBROOM JR. DDS (OWNER PRESIDENT)
(615) 666-4865
Entity
Organization
Contact information
Practice address
1001 SCOTTSVILLE RD, LAFAYETTE, TN 37083
(615) 666-4865
(615) 666-8023
Mailing address
1001 SCOTTSVILLE RD, LAFAYETTE, TN 37083
(615) 666-4865
(615) 666-8023
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS1023
TN
Other
Enumeration date
11/06/2006
Last updated
08/22/2020
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