Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Dr. Glenn James Jividen Jr., D.D.S.
Periodontics in Dayton, OH · enumerated 2007.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1750591590
See something wrong? Report a correction
Registry record
Entity type Individual (Type 1)
Name Dr. Glenn James Jividen Jr.
Credential D.D.S.
Sex Male
Practice address 4300 Linden Ave, Dayton, OH, 45432
Phone (937) 259-0072
Fax (937) 259-0383
Enumeration date May 23, 2007
Last updated in NPPES Jul 8, 2007
Taxonomy & licenses
DDS · Doctor of Dental Surgery: A licensed dentist; DDS and DMD are equivalent dental degrees.
About the DDS credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30-01-8124 | Other | OH | STATE DENTAL LICENSE |
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
What specialty is Glenn Jividen?
Glenn Jividen is registered in NPPES with the primary taxonomy of Periodontics. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.
Is this the official NPI registry?
No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.
Other providers at this practice address
Browse all →Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-07-08.