Dunivan, David Scott

Dunivan, David Scott is an sole proprietor health care provider with primary practice located at 1120 S State Route 157 Ste 102 , Edwardsville IL 62025-3614. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Dunivan, David Scott can be contacted via phone (618) 655-1580.

Contact Information

Primary practice address
1120 S State Route 157 Ste 102 Edwardsville IL 62025-3614
Phone: (618) 655-1580
Fax: (618) 655-1581
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 021-002115 Illinois

Profile Details

NPI number 1306911003
LBN Legal business name Dunivan, David Scott
Credentials D.M.D.,M.S.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 21st, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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