Individual provider · Type 1 NPI

Jon Karl Dively, DDS

General Practice Dentistry · Macomb, IL

NPI number 1659596393 Active

Practice location

4 Doctors Ln
Macomb, IL 61455-3376

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X19A13962 (IL)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1659596393

Jon Karl Dively, DDS's National Provider Identifier is 1659596393, issued on Apr 16, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Macomb, IL. The record was last updated on Jul 8, 2007.