Dr Andrea Susan Vivian, DDS, RPH is a
Dentist based in Plymouth, Michigan. Dr Andrea Susan Vivian is licensed to practice in Michigan (license number 2901014159) and her current practice location is
50475 Fellows Hill Dr, Plymouth, Michigan. She can be reached at her office (for appointments etc.) via phone at
(734) 453-7948.
NPI number for Dr Andrea Susan Vivian is 1447263181 and her current mailing address is 50475 Fellows Hill Dr, Plymouth, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1447263181.
Healthcare Provider's Profile
Full Name | Dr Andrea Susan Vivian |
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Gender | Female |
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Speciality | Dentist |
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Location | 50475 Fellows Hill Dr, Plymouth, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1447263181
- Provider Enumeration Date: 08/14/2006
- Last Update Date: 07/23/2016
Medical Identifiers
Medical identifiers for Dr Andrea Susan Vivian such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1447263181 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
183500000X | Pharmacist | 5302022074 (Michigan) | Secondary |
122300000X | Dentist | 2901014159 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Andrea Susan Vivian is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Andrea Susan Vivian, DDS, RPH 50475 Fellows Hill Dr, Plymouth, MI 48170-6351 Ph: (734) 453-7948 | Dr Andrea Susan Vivian, DDS, RPH 50475 Fellows Hill Dr, Plymouth, MI 48170-6351 Ph: (734) 453-7948 |
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