THOMAS R. VIVIAN DMD PLLC (NPI# 1649598921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649598921 |
| Entity Type | Organization |
| Organization Name | THOMAS R. VIVIAN DMD PLLC |
| Practice Address |
10515 Meeting St 104 Prospect KY 40059-6523 |
| Practice Telephone | 5024202480 |
| Practice Fax Number | 5024202891 |
| Mailing Telephone | 5024202480 |
| Mailing Fax Number | 5024202891 |
| Enumeration Date | 2010-05-11 |
| Last Update Date | 2010-05-11 |
| Authorized Official Name | DR. THOMAS VIVIAN (DR/OWNER) |
| Authorized Official Telephone | 5024202480 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 8638 | KY | Dental Providers |
| Street Address |
10515 MEETING ST 104 |
| City | PROSPECT |
| State | KY |
| Zip Code | 40059-6523 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912179516 | Watson Psc | Dentist | 10515 Meeting St, Suite 104, Prospect, KY 40059-6523 | 2008-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932744919 | Cheryl L Young | Counselor | 1703 Victory Court, Prospect, KY 40059 | 2019-11-13 |
| 1790276806 | Harrods Creek Vol Fire Dept Inc | Ambulance | 8905 Us Highway 42, Prospect, KY 40059 | 2018-05-24 |
| 1952754475 | Prospect Pharmacy LLC | Pharmacy | 9549-b Us Highway 42, Prospect, KY 40059 | 2016-07-20 |
| 1972959740 | Raina Chandiramani | Dentist | 11838 Lakestone Way, Prospect, KY 40059 | 2016-05-10 |
| 1750629416 | Sanford Simon | Family Medicine | 6805 Hunter Run Place, Prospect, KY 40059 | 2013-01-30 |
| 1568707743 | Zorre Zeno Kimura | Physical Therapist | 10211 Worthington Lane, Prospect, KY 40059 | 2012-11-29 |
| 1487806634 | Jaclyn Engelsher | Acupuncturist | 10605 Meeting Street, Suite 102, Prospect, KY 40059 | 2008-10-21 |
| 1740454289 | Emily J. Baskin | Massage Therapist | 9509 Us Hwy 42, Suite 207, Prospect, KY 40059 | 2008-04-16 |
| 1942304647 | Paul Thomas Lavelle | Dentist | 13104 Us Hwy 42, Prospect, KY 40059 | 2006-09-12 |
| 1710924055 | Nasir Gardezi | Internal Medicine | 9500 Hayden Creek Court, Prospect, KY 40059 | 2006-06-02 |
| Find all providers in zip 40059 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932515350 | Atteyat Hadizadeh | Dentist | 11804 Lakestone Way, 11804 Lakestone Way, Prospect, KY 40059-9000 | 2014-07-07 |
| 1659576668 | Sarah Morgan Peterson Mitchell | Dentist | 13206 W Highway 42, Suite 103, Prospect, KY 40059-8221 | 2007-06-19 |
| 1700839024 | Jason A Lipoff | Dentist | 9523 Us Highway 42 Unit 1004, Apt 1530, Prospect, KY 40059-5040 | 2006-05-18 |
| 1154304277 | Jeffrey Gale Crenshaw | Dentist | 12927 W Highway 42, Prospect, KY 40059-9107 | 2005-11-22 |
| 1639701865 | Jack David Kemper | Dentist | 60 Waterbury Rd, Prospect, CT 06712-1250 | 2020-02-05 |
| 1770024085 | Hwang Long Term Dental | Dentist | 174 Scott Rd, Prospect, CT 06712-1300 | 2017-03-20 |
| 1326310590 | Leonard J Fusco | Dentist | 44 Center St, Prospect, CT 06712-1639 | 2012-02-03 |
| 1396048849 | United Health Resources | Dentist | 60 Waterbury Rd, Prospect, CT 06712-1250 | 2010-12-06 |
| 1215166301 | United Dental Resources LLC | Dentist | 60 Waterbury Rd, Prospect, CT 06712-1250 | 2009-07-09 |
| 1679716138 | Martin J Rutt | Dentist | 44 Center St, Prospect, CT 06712-1639 | 2009-04-14 |
| Find all providers in PROSPECT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.