| Dr Jon Karl Dively, DDS | |
| 
					4 Doctors Ln, Macomb, IL 61455-3376  | |
| (309) 837-3918 | |
| Not Available | 
| Full Name | Dr Jon Karl Dively | 
|---|---|
| Gender | Male | 
| Speciality | Dentist - General Practice | 
| Location | 4 Doctors Ln, Macomb, Illinois | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1659596393 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 19A13962 (Illinois) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Jon Karl Dively, DDS 4 Doctors Ln, Macomb, IL 61455-3376 Ph: (309) 837-3918  | Dr Jon Karl Dively, DDS 4 Doctors Ln, Macomb, IL 61455-3376 Ph: (309) 837-3918  | 
Tonny Jill Williamson, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 528 W. Jackson St., Macomb, IL 61455 Phone: 309-837-7727 Fax: 309-836-7801  | |
Matthew Scott Mcclure, D.M.D., P.C. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1508 E Jackson St, Macomb, IL 61455 Phone: 309-837-2633 Fax: 309-833-4554  | |
Dr. Richard W Passmore, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 233 S Mcarthur St, Macomb, IL 61455 Phone: 309-833-1766 Fax: 309-836-9871  | |
Dr. Nicholas D Doll, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 1400 E Carroll St, Suite B, Macomb, IL 61455 Phone: 309-421-3163  | |
Dr. Ellyse Henkle, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1200 W Jackson St, Macomb, IL 61455 Phone: 309-836-6688  | |
Dr. Robert William Price Iii, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1508 Jackson, Macomb, IL 61455 Phone: 309-837-2633  |