BONELL MCBROOM JR DDS PC (NPI# 1952480212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952480212 |
| Entity Type | Organization |
| Organization Name | BONELL MCBROOM JR DDS PC |
| Practice Address |
1001 Scottsville Rd Lafayette TN 37083 |
| Practice Telephone | 6156664865 |
| Practice Fax Number | 6156668023 |
| Mailing Telephone | 6156664865 |
| Mailing Fax Number | 6156668023 |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. BONELL MCBROOM JR. (OWNER PRESIDENT) |
| Authorized Official Telephone | 6156664865 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DS1023 | TN | Dental Providers |
| Street Address |
1001 SCOTTSVILLE RD |
| City | LAFAYETTE |
| State | TN |
| Zip Code | 37083 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215175781 | Raum Holdings, Inc | Dentist | 1001 Scottsville Rd, Lafayette, TN 37083-1402 | 2009-01-21 |
| 1437319506 | Rhett E Raum | Dentist | 1001 Scottsville Rd, Lafayette, TN 37083-1402 | 2008-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467995613 | Osarugue Grace Richards | Nurse Practitioner | 209 College Street, Lafayette, TN 37083 | 2016-11-21 |
| 1619332202 | Lindsey Carr | Licensed Practical Nurse | 601 Highway 52 By Pass East, Lafayette, TN 37083 | 2015-12-23 |
| 1275888992 | Jamii Johnson | Family Medicine | 200 Highway 52 Byp E Ste D, Lafayette, TN 37083 | 2012-07-18 |
| 1740572767 | John Steven Conger | Pharmacist | 320 Hwy 52 Bypass W, Rite Aid Pharmacy, Lafayette, TN 37083 | 2011-05-10 |
| 1871719294 | Kathryn Ann Fitzgerald | Pharmacist | 320 Hwy 52 Bypass West, Lafayette, TN 37083 | 2007-04-17 |
| 1770619777 | Brande Nicole Pharris | Registered Nurse | 601 Hwy Bypass 52, Tn Dept of Health, Lafayette, TN 37083 | 2007-02-26 |
| 1528194529 | Kelly Renae Ritter | Nurse's Aide | 601 Hwy 52 Bypass East, Tn Dept of Health, Lafayette, TN 37083 | 2007-02-26 |
| 1942336946 | Tammy Michelle Driver | Registered Nurse | 601 Highway 52 Bypass East, Tn Dept of Health, Lafayette, TN 37083 | 2007-02-26 |
| 1144395948 | Larry C Key | Dentist | 726 Hwy 52 By Pass W, Lafayette, TN 37083 | 2006-11-21 |
| 1689745069 | Family Care Center LLC | Family Medicine | 207 West Locust Street, Lafayette, TN 37083 | 2006-11-10 |
| Find all providers in zip 37083 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| 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: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801410931 | Briana Michelle Maddox | Dentist | 35 S Creasy Ln Ste 3, Lafayette, IN 47905-5254 | 2020-06-04 |
| 1366004186 | Hunter Brooks | Dentist | 107 Suwanee Rd, Lafayette, LA 70503-6111 | 2019-07-01 |
| 1952864654 | Laura Aguilar | Dentist | 3466 Mt Diablo Blvd Ste C207, Lafayette, CA 94549-7108 | 2019-04-09 |
| 1558852251 | Affordable Dentures & Implants - Lafayette, P.C. | Dentist | 4315 Commerce Dr Ste 210, Lafayette, IN 47905-3823 | 2018-05-29 |
| 1194246942 | Benjamin Isaac Fischer | Dentist | 415 N 26th St Ste 302, Lafayette, IN 47904-2893 | 2017-07-02 |
| 1912351941 | John Hyun-suk Kim | Dentist | 901 Moraga Rd Ste B, Lafayette, CA 94549-4567 | 2016-04-15 |
| 1912364241 | Maura Rose Darnieder | Dentist | 1285 Centaur Village Dr, Suite 200, Lafayette, CO 80026-1214 | 2016-01-17 |
| 1538530381 | Jacob Dent, Dds Lafayette Modern Dentistry, A Professional Corporation | Dentist | 4243 Ambassador Caffery Pkwy, Ste 118, Lafayette, LA 70508 | 2015-10-19 |
| 1134596869 | Indiana Dental Sleep Therapy LLC | Dentist | 4921 Sr 26 E, Suite 300, Lafayette, IN 47905 | 2015-08-28 |
| 1023484805 | Tyler Kellum Levie | Dentist | 201 E. Villanow Street, Lafayette, GA 30728 | 2015-08-17 |
| Find all providers in LAFAYETTE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.