MEDICARE: DR. C SUE VANBLARICUM DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	DS5005	TN

General Provider Information

NPI Number	:	1558692392
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. C SUE VANBLARICUM DDS

Provider Business Mailing Address
First Line	:	412 COLLEGE ST
Second Line	:
City	:	LAFAYETTE
State	:	TN
Zip	:	37083-1705
Country	:	US
Telephone Number	:	615-666-6155
Fax Number	:	615-666-7525

Provider Business Practice Location Address
First Line	:	412 COLLEGE ST
Second Line	:
City	:	LAFAYETTE
State	:	TN
Zip	:	37083-1705
Country	:	US
Telephone Number	:	615-666-6155
Fax Number	:	615-666-7525

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/19/2010
Last Update Date	:	01/19/2010

Similar Medicare Providers

1710091681 — C. SUE VANBLARICUM, DDS, PC
Practice Location Address:

412 COLLEGE ST
LAFAYETTE, TN
37083-1705

Practice Phone: 615-666-6155
Practice Fax: 615-666-7525

1700477411 — EMILY HOPE WALSH PA-C
Practice Location Address:

10 ELMWOOD CT
LAFAYETTE, IN
47904-1705

Practice Phone: 317-493-9875
Practice Fax:

1700956224 — DALE SPEAR GARSON LCSW
Practice Location Address:

5 ANDORRA HILL RD
LAFAYETTE HILL, PA
19444-1705

Practice Phone: 610-329-9897
Practice Fax: 610-832-5332

1568620631 — MS. KIMBERLY MOON PHARMD
Practice Location Address:

600 E LAFAYETTE BLVD , MAIL CODE 1705
DETROIT, MI
48226-2927

Practice Phone: 313-225-7641
Practice Fax:

1801875596 — HOMETOWN RESPIRATORY CONSULTANTS, LLC
Practice Location Address:

1014 SCOTTSVILLE RD
LAFAYETTE, TN
37083-1403

Practice Phone: 615-666-7387
Practice Fax: 615-666-6787

1568466480 — MR. BEAU CASSIDY FNP-C
Practice Location Address:

602 RED BOILING SPRINGS RD
LAFAYETTE, TN
37083-1316

Practice Phone: 615-237-5410
Practice Fax: 615-237-5411

Directions to “ DR. C SUE VANBLARICUM DDS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.