# THOMAS R. VIVIAN DMD PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649598921
- **Authorized official:** DR. THOMAS VIVIAN DMD (DR/OWNER)
- **Authorized official phone:** (502) 420-2480

## Contact information

- **Practice address:** 10515 MEETING ST, 104, PROSPECT, KY 40059-6523
- **Practice address phone:** (502) 420-2480
- **Practice address fax:** (502) 420-2891
- **Mailing address:** 10515 MEETING ST, 104, PROSPECT, KY 40059-6523
- **Mailing address phone:** (502) 420-2480
- **Mailing address fax:** (502) 420-2891

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 8638 | KY | Yes |

## Other

- **Enumeration date:** 05/11/2010
- **Last updated:** 05/11/2010