Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GLENN JAMES JIVIDEN JR., D.D.S.
ActiveDR. GLENN JAMES JIVIDEN JR., D.D.S. is a Periodontology healthcare provider located in DAYTON, Ohio. NPI 1750591590 is currently active in the NPPES registry. Verify at CMS.
Periodontology · DAYTON, OH
Registration Details
- NPI Number
- 1750591590
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 23, 2007 (19.257248226091 yrs)
- Last Updated
- Jul 8, 2007
- License
-
30-01-8124 (OH)
Practice Information
- Address
-
4300 LINDEN AVEDAYTON, OH, 454323022Browse OH providers · Browse ZIP 45432
- Phone
- 9372590072
- Fax
- 9372590383
- Primary Specialty
-
Periodontology
1223P0300X
Other Periodontology Providers in DAYTON, OH
| Name | Credential | NPI |
|---|---|---|
| DR. ROBERT T JENSEN | DDS | 1255376281 |
| MARK HEBEISH | — | 1922417229 |
| RASHEE GOYAL MANNAVA | DMD | 1508266552 |
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.