Vivent Health Inc | |
1311 N 6th St Milwaukee WI 53212-4006 | |
(866) 525-5484 | |
(414) 225-1575 |
Full Name | Vivent Health Inc |
---|---|
Speciality | Clinic/center - Dental |
Location | 1311 N 6th St, Milwaukee, Wisconsin |
Authorized Official Name and Position | Joann Berk (SR. DIRECTOR OF CORPORATE SERVICES) |
Authorized Official Contact | 4142251568 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Vivent Health Inc Po Box 18412 Palatine IL 60055-8412 Ph: (866) 525-5484 | Vivent Health Inc 1311 N 6th St Milwaukee WI 53212-4006 Ph: (866) 525-5484 |
NPI Number | 1215175146 |
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Provider Enumeration Date | 01/30/2009 |
Last Update Date | 05/08/2025 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215175146 | NPI | - | NPPES |
38390700 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Secondary |
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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