| Raum Holdings, Inc | |
|
1001 Scottsville Rd Lafayette TN 37083-1402 | |
| (615) 666-4865 | |
| Not Available |
| Full Name | Raum Holdings, Inc |
|---|---|
| Speciality | Dentist |
| Location | 1001 Scottsville Rd, Lafayette, Tennessee |
| Authorized Official Name and Position | Rhett E Raum (PRESIDENT) |
| Authorized Official Contact | 6156664865 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Raum Holdings, Inc 1001 Scottsville Rd Lafayette TN 37083-1402 Ph: (615) 666-4865 | Raum Holdings, Inc 1001 Scottsville Rd Lafayette TN 37083-1402 Ph: (615) 666-4865 |
| NPI Number | 1215175781 |
|---|---|
| Provider Enumeration Date | 01/21/2009 |
| Last Update Date | 01/21/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215175781 | NPI | - | NPPES |
| 1509391 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 8852 (Tennessee) | Primary |
C. Sue Vanblaricum, Dds, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 412 College St, Lafayette, TN 37083 Phone: 615-666-6155 Fax: 615-666-7525 | |
Bonell Mcbroom Jr Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 Scottsville Rd, Lafayette, TN 37083 Phone: 615-666-4865 Fax: 615-666-8023 |