| Dr Glenn James Jividen Jr, DDS | |
|
4300 Linden Ave, Dayton, OH 45432-3022 | |
| (937) 259-0072 | |
| (937) 259-0383 |
| Full Name | Dr Glenn James Jividen Jr |
|---|---|
| Gender | Male |
| Speciality | Dentist - Periodontics |
| Location | 4300 Linden Ave, Dayton, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750591590 | NPI | - | NPPES |
| 30-01-8124 | Other | OH | STATE DENTAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 30-01-8124 (Ohio) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Glenn James Jividen Jr, DDS 4300 Linden Ave, Dayton, OH 45432-3022 Ph: (937) 259-0072 | Dr Glenn James Jividen Jr, DDS 4300 Linden Ave, Dayton, OH 45432-3022 Ph: (937) 259-0072 |
Michele Lynn Bloxson, DDS Dentist Medicare: Medicare Enrolled Practice Location: 4257 W 3rd St, Dayton, OH 45417 Phone: 937-268-1665 | |
Dr. Anthonio Collins Mcfadden, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 5221 Waynetowne Ct, Dayton, OH 45424 Phone: 937-237-0360 | |
Dr. Gary Howard Ensor, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1 Wyoming St, Department Of Medical Education, Dayton, OH 45409 Phone: 937-208-2204 Fax: 937-208-5393 | |
Dr. James A Budde Iii, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 5660 Far Hills Ave, Dayton, OH 45429 Phone: 937-435-0324 Fax: 937-435-7206 | |
Stephen M. Joseph, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 1654 S Smithville Rd, Dayton, OH 45410 Phone: 937-252-8551 Fax: 937-252-4311 | |
Dr. David Jeremiah Young, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3080 Ackerman Rd, Dayton, OH 45429 Phone: 937-298-7267 Fax: 937-298-0672 | |
Dr. James Otis Hurst, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 9000 N. Main Street, Suite 207, Dayton, OH 45415 Phone: 937-836-7282 Fax: 937-836-7394 |