Active NPI
VMLP Liv PLC
- General Practice Dentistry
- Livonia, MI
National Provider Identifier
1760852735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 20509
- Legal business name
- VMLP LIV PLC
- Doing business as
- Aspen Dental
- Practice address
- 13417 Middlebelt Rd
Livonia, MI 48150-2229 - Phone
- (734) 245-0037
- Fax
- (734) 522-0037
- NPI assigned
- Oct 2, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jason Bertollini
- Title
- PRM
- Phone
- (866) 273-8204
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 20509 | MI | Primary |
Addresses
Primary practice location
13417 Middlebelt Rd
Livonia, MI 48150-2229
Mailing address
PO Box 3189
Syracuse, NY 13220-3189
Phone (866) 273-8204
Other names 1
- Aspen Dental
National Provider Directory
National Provider DirectoryLocations
13417 Middlebelt Rd
Livonia, MI 48150
Phone (734) 245-9304
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443744000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1443744000000",
"number": "1760852735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3189",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132203189",
"telephone_number": "866-273-8204",
"fax_number": "315-410-5531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13417 MIDDLEBELT RD",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481502229",
"telephone_number": "734-245-0037",
"fax_number": "734-522-0037"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VMLP LIV PLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-10-02",
"last_updated": "2015-10-02",
"status": "A",
"authorized_official_last_name": "BERTOLLINI",
"authorized_official_first_name": "JASON",
"authorized_official_title_or_position": "PRM",
"authorized_official_telephone_number": "866-273-8204"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "MI",
"license": "20509",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Aspen Dental",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Livonia, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.