Bonell Mcbroom Jr DDS PC

NPI #1952480212 in Lafayette, Tennessee

Provider Information

NPI Number: 1952480212
Entity Type: Organization
Organization Name: Bonell Mcbroom Jr DDS PC
Primary Specialty: Dentist
Enumeration Date: Nov 6, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 1001 SCOTTSVILLE RD
City: Lafayette
State: Tennessee
ZIP Code: 37083
Phone: (615) 666-4865

Authorized Official

Name: DR. BONELL MCBROOM JR., DDS
Title: OWNER PRESIDENT
Phone: (615) 666-4865

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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