Jon Karl Dively, DDS
General Practice Dentistry · Macomb, IL
Practice location
4 Doctors LnMacomb, IL 61455-3376
- Phone
- (309) 837-3918
NPI record
- NPI
- 1659596393
- Entity type
- Individual (Type 1)
- Enumeration date
- April 16, 2007
- Last updated
- July 8, 2007
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Dentistry Primary | 1223G0001X |
19A13962 | IL |
About Dr. Dively
Jon Karl Dively, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 4 Doctors Ln, Macomb, IL 61455-3376. The NPI number 1659596393 was assigned on April 16, 2007 and the record was last updated on July 8, 2007.
Dr. Dively lists a license in the registry: #19A13962 (IL) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Jon Karl Dively, DDS?
The NPI number is 1659596393.
What is the phone number of Dr. Dively?
The phone number listed for the practice location is (309) 837-3918.
Where is Dr. Dively located?
4 Doctors Ln, Macomb, IL 61455-3376.
What is the taxonomy code for Dr. Dively?
The primary taxonomy code is 1223G0001X – General Practice Dentistry.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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- Ellyse Henkle, DMD1200 W Jackson St
- Lifetime Dental Care of Illinois, PC1200 W Jackson
- Robert William Price III, DMD1508 Jackson