Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DAVID SCOTT DUNIVAN, D.M.D.,M.S.
Active Sole ProprietorDR. DAVID SCOTT DUNIVAN, D.M.D.,M.S. is a Periodontology healthcare provider located in EDWARDSVILLE, Illinois. NPI 1306911003 is currently active in the NPPES registry. Verify at CMS.
Periodontology · EDWARDSVILLE, IL
Registration Details
- NPI Number
- 1306911003
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 21, 2006 (19.69024209879 yrs)
- Last Updated
- Jul 8, 2007
- License
-
021-002115 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1120 S STATE ROUTE 157 STE 102EDWARDSVILLE, IL, 620253614Browse IL providers · Browse ZIP 62025
- Phone
- 6186551580
- Fax
- 6186551581
- Primary Specialty
-
Periodontology
1223P0300X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.