Andrea S. Vivian, DDS, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

ANDREA S. VIVIAN, DDS, PC

Doing business as

Village Dental Care

Practice address

496 W Ann Arbor TRL
Suite 201
Plymouth, MI 48170-6262

Phone

(734) 453-9413

NPI assigned

Aug 14, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Andrea VivianNPI 1447263181

Title

President

Phone

77344537948

Specialties & licenses 1

Addresses

Other names 1

• Village Dental Care Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Andrea Susan Vivian, DDS, RPH

  • Dentist
  • Plymouth, MI
  • NPI 1447263181
  NPD (past) Authorized official
• Alejandra Defuentes Cutter

  • General Practice Dentistry
  • Plymouth, MI
  • NPI 1669711644
  NPD (past)
• Kenneth Towner Hovey, DDS

  • Dentist
  • Plymouth, MI
  • NPI 1811071152
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225041858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50475 FELLOWS HILL DR",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481706351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "496 W ANN ARBOR TRL",
            "address_2": "SUITE 201",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481706262",
            "telephone_number": "734-453-9413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREA S. VIVIAN, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VIVIAN",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "77344537948",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Village Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tara Anderson
• Travis R Anderson
• Wendolyn Anderson, MSW
• Wyatt Anderson
• Andrea Nowak MD PC
• Sophia Andres
• Kyle Andrews, M.A.
• Lisa Anger
• Louise Ann Angerer
• Ella Rose Anglin

• General Practice Dentistry in Plymouth, MI
• Providers in Plymouth, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.