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Dr. David Scott Dunivan, DMD,MS
Periodontist in Edwardsville, Illinois
NPI 1306911003

David Scott Dunivan is a Periodontist based in Edwardsville, IL and is specialized in Periodontics. David Scott Dunivan practices in Edwardsville, IL and has the professional credentials of DMD,MS. The NPI Number for David Scott Dunivan is 1306911003 and holds a License No. 021-002115 (Illinois).

The current practice location address for David Scott Dunivan is 1120 S State Route 157 Ste 102, Edwardsville, IL and can be reached out via phone at 618-655-1580 and via fax at 618-655-1581.

Location: 1120 S State Route 157 Ste 102, Edwardsville, IL, 62025-3614
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306911003
Provider Name
David Scott Dunivan
Credential
DMD,MS
Provider Entity Type
Individual
Gender
Male
Address
1120 S State Route 157 Ste 102, Edwardsville, IL, 62025-3614
Phone Number
618-655-1580
Fax Number
618-655-1581
Provider Enumeration Date
11/21/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1120 S State Route 157 Ste 102
City
Edwardsville
State
Illinois
Zip
62025-3614
Phone Number
618-655-1580
Fax Number
618-655-1581
person
Provider Business Mailing Address Details
Address
1120 S State Route 157 Ste 102
City
Edwardsville
State
Illinois
Zip
62025-3614
Phone Number
618-655-1580
Fax Number
618-655-1581
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
021-002115 (Illinois)
Definition
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.
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