DR. JON DIVELY, DDS
Dentist - General Practice
Active
Individual
NPI: 1659596393
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - General Practice | 1223G0001X | Yes | 19A13962 (IL) |
Frequently Asked Questions
NPI 1659596393 is the National Provider Identifier for DR. JON DIVELY, DDS, a Dentist - General Practice provider located in Macomb, IL. This NPI was enumerated on April 16, 2007.
DR. JON DIVELY, DDS practices at 4 DOCTORS LN, Macomb, IL 61455.
Quick Facts
- NPI
- 1659596393
- Type
- Individual
- Enumerated
- Apr 16, 2007
- Last Updated
- Jul 8, 2007
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