DR. David Scott Dunivan, D.M.D.,M.S.
NPI #1306911003 in Edwardsville, Illinois
Provider Information
- NPI Number
- 1306911003
- Entity Type
- Individual
- Name
- DR. David Scott Dunivan, D.M.D.,M.S.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - Periodontics
- Credential
- D.M.D.,M.S.
- Enumeration Date
- Nov 21, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1120 S STATE ROUTE 157 STE 102
- City
- Edwardsville
- State
- Illinois
- ZIP Code
- 62025-3614
- Phone
- (618) 655-1580
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Periodontics — Periodontics |
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