Active NPIOrganization

Divine Dentistry PC

Dentist, General Practice in Fairfield, Connecticut

NPI Number1427756949
Practice location
2452 Black Rock Tpke Ste 12, Fairfield, CT 06825-2417
Fax
—
Last updated
February 23, 2023

Divine Dentistry PC is a healthcare organization based in Fairfield, CT. Divine Dentistry PC practices in Fairfield, CT. The NPI Number for Divine Dentistry PC is 1427756949. The current practice location address for Divine Dentistry PC is 2452 Black Rock Tpke Ste 12, Fairfield, CT 06825-2417 and can be reached out via phone at 203-372-9848.

Provider Profile Details

NPI Number
1427756949
Provider Name
Divine Dentistry PC
Provider Entity Type
Organization
Address
2452 Black Rock Tpke Ste 12, Fairfield, CT 06825-2417
Phone Number
203-372-9848
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Organization Subpart
No
Authorized Official
Miss Alexia Kennedy · Receptionist · 203-372-9848
Other Names
Divine Dentistry At Fairfield (Doing Business As)
Provider Enumeration Date
February 23, 2023
Last Update Date
February 23, 2023
Certification Date
February 23, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
2452 Black Rock Tpke Ste 12
Fairfield, CT 06825-2417
Zip
06825-2417
Phone Number
203-372-9848
Fairfield, CT 06825Get directions →

Provider Business Mailing Address Details

Address
2452 Black Rock Tpke Ste 12
Fairfield, CT 06825-2417
City
Fairfield
State
CT
Zip
06825-2417
Phone Number
203-372-9848

License Information

Taxonomy
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Divine Dentistry PC?

The NPI number of Divine Dentistry PC is 1427756949. It was assigned on February 23, 2023 and is currently active in the NPPES registry.

What is the specialty of Divine Dentistry PC?

Divine Dentistry PC is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X).

Where does Divine Dentistry PC practice?

The practice location is 2452 Black Rock Tpke Ste 12, Fairfield, CT 06825-2417. The office can be reached at 203-372-9848 (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 1427756949 directly on the NPPES registry website.

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