Organization
DR JOHN R VIVIANI DDS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN RONALD VIVIANI DDS (OWNER)
(631) 424-3838
Entity
Organization
Contact information
Practice address
44 GREEN ST, HUNTINGTON, NY 11743-3393
(631) 424-3838
Mailing address
44 GREEN ST, HUNTINGTON, NY 11743-3393
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
040407
NY
Other
Enumeration date
07/15/2006
Last updated
08/22/2020
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