SearchOhio1223P0300X

Glenn Jividen, D.D.S

NPI 1750591590 · on the registry since 2007

Practice

Address
4300 Linden Ave
Dayton, OH 45432
Phone
(937) 259-0072
Fax
(937) 259-0383
Clinicians at this address
3

Registry record

Primary taxonomy
1223P0300X
1223P0300X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio