DR. Glenn James Jividen, D.D.S. is a periodontics dentist in Dayton, OH. The provider is 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. DR. Glenn James Jividen, D.D.S. NPI is 1750591590. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
4300 LINDEN AVE
DAYTON, OH
ZIP 45432-022
Phone: (937) 259-0072
Fax: (937) 259-0383
The NPI 1750591590 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).
The enumeration date for this NPI number is 5/23/2007 and was last updated on 7/8/2007.