Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jon Karl Dively, DDS

Individual provider General Practice Dentistry · NPI 1659596393

Dr. Jon Karl Dively, DDS is a General Practice Dentistry in Macomb, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2007
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

4 Doctors Ln
Macomb, IL 61455-3376
Phone: (309) 837-3918
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 19A13962 (IL)

Record details

NPI number1659596393
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedApril 16, 2007
Last updated in NPPESJuly 8, 2007
Mailing address4 Doctors Ln, Macomb, IL 61455-3376

Other providers in Macomb