DR. Jon Karl Dively, DDS is a general practice dentist in Macomb, IL. The provider is 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. DR. Jon Karl Dively, DDS NPI is 1659596393. 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:
4 DOCTORS LN
MACOMB, IL
ZIP 61455-376
Phone: (309) 837-3918
The NPI 1659596393 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 4/16/2007 and was last updated on 7/8/2007.