C. Sue Vanblaricum, Dds, Pc in Lafayette - General Practice

C. Sue Vanblaricum, Dds, Pc - NPI 1710091681

C. Sue Vanblaricum, Dds, Pc is a General Practice in Lafayette, Tennessee. C. Sue Vanblaricum, Dds, Pc practices all healthcare services and medical treatments related to General Practice. The NPI Number for C. Sue Vanblaricum, Dds, Pc is 1710091681. The last update date is 2020-08-22.

C. Sue Vanblaricum, Dds, Pc's current location address is 412 College St, Lafayette, Tennessee. You can contact this provider via phone number 6156666155 and fax number 6156667525. The mailing address for C. Sue Vanblaricum, Dds, Pc is 412 College St, Lafayette, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Organization C. Sue Vanblaricum, Dds, Pc
Address 412 College St, Lafayette, Tennessee
Phone Number 6156666155
Fax Number 6156667525
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Vanblaricum C. Sue
Credentials DDS
Telephone Number 6156666155

NPI Number Detail

NPI Number 1710091681
Provider Enumeration Date 2006-08-18
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 412 College St
City Lafayette
State Tennessee (TN)
Post Code 370831705
Phone Number 6156666155
Fax Number 6156667525

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No DS0000005005
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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FAQs about C. Sue Vanblaricum, Dds, Pc

What is the unique identifier code issued to C. Sue Vanblaricum, Dds, Pc by the Centers for Medicare & Medicaid Services?

The C. Sue Vanblaricum, Dds, Pc has been assigned the NPI (National Provider Identifier) 1710091681. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where C. Sue Vanblaricum, Dds, Pc is physically located?

The C. Sue Vanblaricum, Dds, Pc is situated at the following address: 412 College St, Lafayette, TN 370831705.

What is the C. Sue Vanblaricum, Dds, Pc's specialty and taxonomy code?

The C. Sue Vanblaricum, Dds, Pc's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.

On what date did the C. Sue Vanblaricum, Dds, Pc receive its 1710091681 assignment from the Centers for Medicare & Medicaid Services?

The C. Sue Vanblaricum, Dds, Pc was assigned its 1710091681 by the Centers for Medicare & Medicaid Services on 2006-08-18.

As of what date was the information pertaining to C. Sue Vanblaricum, Dds, Pc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to C. Sue Vanblaricum, Dds, Pc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.

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