DR. Jon Karl Dively, DDS
NPI #1659596393 in Macomb, Illinois
Provider Information
- NPI Number
- 1659596393
- Entity Type
- Individual
- Name
- DR. Jon Karl Dively, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Apr 16, 2007
- Last Updated
- Jul 8, 2007
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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Organizations
| Provider Name | |
|---|---|
| Buffalo Prairie Dental Care of Macomb, INC | AI Deep Dive |
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