Individual provider · Type 1 NPI
David Scott Dunivan, DMD, M.S.
Periodontics · Edwardsville, IL
NPI number
1306911003
Active
Practice location
1120 S State Route 157 Ste 102
Edwardsville, IL 62025-3614
Fax (618) 655-1581
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | 021-002115 (IL) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
About NPI 1306911003
David Scott Dunivan, DMD, M.S.'s National Provider Identifier is 1306911003, issued on Nov 21, 2006. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Edwardsville, IL. The record was last updated on Jul 8, 2007.