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Dr. Jon Karl Dively, DDS
General Practice Dentistry in Macomb, Illinois
NPI 1659596393

Jon Karl Dively is a General Practice Dentistry based in Macomb, IL and is specialized in General Practice. Jon Karl Dively practices in Macomb, IL and has the professional credentials of DDS. The NPI Number for Jon Karl Dively is 1659596393 and holds a License No. 19A13962 (Illinois).

The current practice location address for Jon Karl Dively is 4 Doctors Ln, Macomb, IL and can be reached out via phone at 309-837-3918. You can also correspond with Jon Karl Dively through the mailing address at 4 DOCTORS LN, MACOMB, IL - 61455-3376 (mailing address contact number: 309-837-3918).

Location: 4 Doctors Ln, Macomb, IL, 61455-3376
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659596393
Provider Name
Jon Karl Dively
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
4 Doctors Ln, Macomb, IL, 61455-3376
Phone Number
309-837-3918
Fax Number
Provider Enumeration Date
04/16/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4 Doctors Ln
City
Macomb
State
Illinois
Zip
61455-3376
Phone Number
309-837-3918
Fax Number
person
Provider Business Mailing Address Details
Address
4 Doctors Ln
City
Macomb
State
Illinois
Zip
61455-3376
Phone Number
309-837-3918
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
19A13962 (Illinois)
Definition
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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