Glenn James Jividen Jr., D.D.S.
Periodontics · Dayton, OH
Practice location
4300 Linden AveDayton, OH 45432-3022
- Phone
- (937) 259-0072
- Fax
- (937) 259-0383
NPI record
- NPI
- 1750591590
- Entity type
- Individual (Type 1)
- Enumeration date
- May 23, 2007
- Last updated
- July 8, 2007
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Periodontics Primary | 1223P0300X |
30-01-8124 | OH |
About Dr. Jividen
Glenn James Jividen Jr., D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy Periodontics (code 1223P0300X). The practice location is 4300 Linden Ave, Dayton, OH 45432-3022. The NPI number 1750591590 was assigned on May 23, 2007 and the record was last updated on July 8, 2007.
Dr. Jividen lists a license in the registry: #30-01-8124 (OH) for Periodontics. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Glenn James Jividen Jr., D.D.S.?
The NPI number is 1750591590.
What is the phone number of Dr. Jividen?
The phone number listed for the practice location is (937) 259-0072.
Where is Dr. Jividen located?
4300 Linden Ave, Dayton, OH 45432-3022.
What is the taxonomy code for Dr. Jividen?
The primary taxonomy code is 1223P0300X – Periodontics.
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.
Other Periodontics providers in Dayton
- Robert T. Jensen D.D.S., M.S., Inc.7100 Corporate Way
- Robert T. Jensen, DDS7100 Corporate Way
- Rashee Goyal Mannava, DMD4300 Linden Ave
- Mark Hebeish4300 Linden Ave