Bonell Mcbroom Jr Dds Pc in Lafayette - Dentist
Bonell Mcbroom Jr Dds Pc - NPI 1952480212
Bonell Mcbroom Jr Dds Pc is a Dentist in Lafayette, Tennessee. Bonell Mcbroom Jr Dds Pc practices all healthcare services and medical treatments related to Dentist. The NPI Number for Bonell Mcbroom Jr Dds Pc is 1952480212. The last update date is 2020-08-22.
Bonell Mcbroom Jr Dds Pc's current location address is 1001 Scottsville Rd, Lafayette, Tennessee. You can contact this provider via phone number 6156664865 and fax number 6156668023. The mailing address for Bonell Mcbroom Jr Dds Pc is 1001 Scottsville Rd, Lafayette, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Bonell Mcbroom Jr Dds Pc |
|---|---|
| Address | 1001 Scottsville Rd, Lafayette, Tennessee |
| Phone Number | 6156664865 |
| Fax Number | 6156668023 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER PRES |
|---|---|
| Authorized Official Name | Mcbroom Bonell |
| Credentials | DDS |
| Telephone Number | 6156664865 |
NPI Number Detail
| NPI Number | 1952480212 |
|---|---|
| Provider Enumeration Date | 2006-11-06 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1001 Scottsville Rd |
|---|---|
| City | Lafayette |
| State | Tennessee (TN) |
| Post Code | 37083 |
| Phone Number | 6156664865 |
| Fax Number | 6156668023 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | DS1023 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique identifier code issued to Bonell Mcbroom Jr Dds Pc by the Centers for Medicare & Medicaid Services?
The Bonell Mcbroom Jr Dds Pc has been assigned the NPI (National Provider Identifier) 1952480212. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Bonell Mcbroom Jr Dds Pc is physically located?
The Bonell Mcbroom Jr Dds Pc is physically situated at the following address: 1001 Scottsville Rd, Lafayette, TN, 37083.
What is Bonell Mcbroom Jr Dds Pc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Bonell Mcbroom Jr Dds Pc is Dentist, and the taxonomy code that classifies this field of practice is 122300000X.
On what date did Bonell Mcbroom Jr Dds Pc receive its 1952480212 assignment from the Centers for Medicare & Medicaid Services?
The Bonell Mcbroom Jr Dds Pc was assigned its 1952480212 on 2006-11-06, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Bonell Mcbroom Jr Dds Pc most recently updated?
The details pertaining to the Bonell Mcbroom Jr Dds Pc, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.
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