VIVIAN DENTAL – NPI #1235708702
Clinic/Center

VIVIAN DENTAL is an AHC clinic located in VIVIAN, LA. NPPES has assigned the NPI number 1235708702 to VIVIAN DENTAL on June 21, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

The NPI profile was previously updated about 4 years ago on Dec 16, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for VIVIAN DENTAL below.

NPI Profile for
VIVIAN DENTAL

NPI Number
1235708702
Enumeration Date

(about 5 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
VIVIAN DENTAL
Primary location
815 S PINE ST
VIVIAN, LA 71082-3314
Phone: (318) 375-4001 Fax:
Mailing address
PO BOX 792
VIVIAN, LA 71082-0792
Phone: Fax:
Organization Subpart
Yes - VIVIAN DENTAL is subpart of another organization.
Authorized Official
BRENT LEONARD
FINANCIAL ANALYST
Phone: (318) 375-4099
Updated
Certification Date
Dec 16, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD0000X
- Clinic/Center / Dental (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.