Individual provider · Type 1 NPI
Glenn James Jividen Jr., DDS
Periodontics · Dayton, OH
NPI number
1750591590
Active
Practice location
4300 Linden Ave
Dayton, OH 45432-3022
Fax (937) 259-0383
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | 30-01-8124 (OH) |
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.
2 other providers at this address
Other periodontics providers in Dayton
About NPI 1750591590
Glenn James Jividen Jr., DDS's National Provider Identifier is 1750591590, issued on May 23, 2007. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Dayton, OH. The record was last updated on Jul 8, 2007.