Jon Karl Dively in Macomb - General Practice
Jon Karl Dively - NPI 1659596393
Jon Karl Dively is a General Practice in Macomb, Illinois. Jon Karl Dively practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jon Karl Dively is 1659596393. The last update date is 2007-07-08.
Jon Karl Dively's current location address is 4 Doctors Ln, Macomb, Illinois. You can contact this provider via phone number 3098373918. The mailing address for Jon Karl Dively is 4 Doctors Ln, Macomb, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jon Karl Dively |
|---|---|
| Address | 4 Doctors Ln, Macomb, Illinois |
| Phone Number | 3098373918 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1659596393 |
|---|---|
| Provider Enumeration Date | 2007-04-16 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4 Doctors Ln |
|---|---|
| City | Macomb |
| State | Illinois (IL) |
| Post Code | 614553376 |
| Phone Number | 3098373918 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 19A13962 |
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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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What is the unique 10-digit identifier code issued to Jon Karl Dively by the Centers for Medicare & Medicaid Services?
The Jon Karl Dively has been assigned the NPI (National Provider Identifier) 1659596393 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Jon Karl Dively's facilities are geographically located?
The facilities of Jon Karl Dively are physically situated at the following location: 4 Doctors Ln, Macomb, IL, 614553376.
What is the Jon Karl Dively's specialty and taxonomy code?
The Jon Karl Dively's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.
When did the Jon Karl Dively receive its 1659596393?
The Jon Karl Dively was issued its 1659596393 on 2007-04-16, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Jon Karl Dively most recently updated or revised?
The details related to Jon Karl Dively, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.