Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Thomas R. Vivian DMD PLLC

Organization Dentist · NPI 1649598921

Thomas R. Vivian DMD PLLC is a Dentist in Prospect, Kentucky. Licensed in Kentucky. Registered with an NPI since 2010.

Licensed in
KY
In the registry since
2010
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10515 Meeting St 104
Prospect, KY 40059-6523
Phone: (502) 420-2480
Fax: (502) 420-2891
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 8638 (KY)

Record details

NPI number1649598921
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Thomas Vivian — Dr/Owner · (502) 420-2480
NPI enumeratedMay 11, 2010
Last updated in NPPESMay 11, 2010
Mailing address10515 Meeting St, 104, Prospect, KY 40059-6523

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