| C. Sue Vanblaricum, Dds, Pc | |
|
412 College St Lafayette TN 37083-1705 | |
| (615) 666-6155 | |
| (615) 666-7525 |
| Full Name | C. Sue Vanblaricum, Dds, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 412 College St, Lafayette, Tennessee |
| Authorized Official Name and Position | C. Sue Vanblaricum (PRESIDENT) |
| Authorized Official Contact | 6156666155 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| C. Sue Vanblaricum, Dds, Pc 412 College St Lafayette TN 37083-1705 Ph: (615) 666-6155 | C. Sue Vanblaricum, Dds, Pc 412 College St Lafayette TN 37083-1705 Ph: (615) 666-6155 |
| NPI Number | 1710091681 |
|---|---|
| Provider Enumeration Date | 08/18/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710091681 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DS0000005005 (Tennessee) | Primary |
Raum Holdings, Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 Scottsville Rd, Lafayette, TN 37083 Phone: 615-666-4865 | |
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 |