Provider Demographics
NPI:1437319506
Name:RAUM, RHETT E (DMD)
Entity Type:Individual
Prefix:DR
First Name:RHETT
Middle Name:E
Last Name:RAUM
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4785 NEW HARMONY RD
Mailing Address - Street 2:
Mailing Address - City:HARTSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37074-5154
Mailing Address - Country:US
Mailing Address - Phone:615-666-4865
Mailing Address - Fax:615-666-0823
Practice Address - Street 1:1001 SCOTTSVILLE RD
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:TN
Practice Address - Zip Code:37083-1402
Practice Address - Country:US
Practice Address - Phone:615-666-4865
Practice Address - Fax:615-666-0823
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-12
Last Update Date:2008-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN8852122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist