# ANDREA S. VIVIAN, DDS, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Village Dental Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225041858
- **Authorized official:** DR. ANDREA VIVIAN (PRESIDENT)
- **Authorized official phone:** 77344537948

## Contact information

- **Practice address:** 496 W ANN ARBOR TRL, SUITE 201, PLYMOUTH, MI 48170-6262
- **Practice address phone:** (734) 453-9413
- **Mailing address:** 50475 FELLOWS HILL DR, PLYMOUTH, MI 48170-6351

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 08/14/2006
- **Last updated:** 08/22/2020