DIVINE DENTISTRY PC NPI 1427756949

NPI Information

  • NPI: 1427756949
  • Provider Name: DIVINE DENTISTRY PC
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 2452 BLACK ROCK TPKE STE 12
    FAIRFIELD, CT
    ZIP 06825
  • Phone: (203) 372-9848

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NPI Details

DIVINE DENTISTRY PC is a general practice dentist in Fairfield, CT. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DIVINE DENTISTRY PC NPI is 1427756949. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2452 BLACK ROCK TPKE STE 12
FAIRFIELD, CT
ZIP 06825-417
Phone: (203) 372-9848

The provider's authorized official is Alexia Kennedy .
The authorized official title is Receptionist and has the following contact phone number (203) 372-9848.

The enumeration date for this NPI number is 2/23/2023 and was last updated on 2/23/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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