- Practice location
- 485 S Washington Ave, Bergenfield, NJ 07621-4313
- Phone
- 201-345-8881
- Fax
- —
- Last updated
- February 14, 2020
Divine Dental LLC is a healthcare organization based in Bergenfield, NJ. Divine Dental LLC practices in Bergenfield, NJ. The NPI Number for Divine Dental LLC is 1336772664. The current practice location address for Divine Dental LLC is 485 S Washington Ave, Bergenfield, NJ 07621-4313 and can be reached out via phone at 201-345-8881.
Provider Profile Details
- NPI Number
- 1336772664
- Provider Name
- Divine Dental LLC
- Provider Entity Type
- Organization
- Address
- 485 S Washington Ave, Bergenfield, NJ 07621-4313
- Phone Number
- 201-345-8881
- Primary Taxonomy
- Dentist · 122300000X
- Organization Subpart
- No
- Authorized Official
- James Kang · Owner · 201-345-8881
- Provider Enumeration Date
- February 14, 2020
- Last Update Date
- February 14, 2020
- Certification Date
- February 14, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 485 S Washington Ave
Bergenfield, NJ 07621-4313 - City
- Bergenfield
- State
- New Jersey
- Zip
- 07621-4313
- Phone Number
- 201-345-8881
Provider Business Mailing Address Details
- Address
- 485 S Washington Ave
Bergenfield, NJ 07621-4313 - City
- Bergenfield
- State
- NJ
- Zip
- 07621-4313
- Phone Number
- 201-345-8881
License Information
- Taxonomy (1)
- Durable Medical Equipment & Medical Supplies, Customized Equipment · 332BC3200X
- Taxonomy (2)
- Dentist · 122300000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentists near Bergenfield, NJ
View all Dentists in Bergenfield →Frequently Asked Questions
What is the NPI number of Divine Dental LLC?
The NPI number of Divine Dental LLC is 1336772664. It was assigned on February 14, 2020 and is currently active in the NPPES registry.
What is the specialty of Divine Dental LLC?
Divine Dental LLC is registered under the primary taxonomy Dentist (code 122300000X).
Where does Divine Dental LLC practice?
The practice location is 485 S Washington Ave, Bergenfield, NJ 07621-4313. The office can be reached at 201-345-8881 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1336772664 directly on the NPPES registry website.