DIVINE DENTAL PC
NPI 1235454208
Dentist - General Practice in Flushing, NY

Q: What is Divine Dental PC's NPI number?

The NPI number for Divine Dental PC is 1235454208. It was assigned to this organization in the NPPES registry on April 2, 2010.

Q: What is Divine Dental PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Divine Dental PC was last updated on April 2, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 02, 2010

4125 KISSENA BLVD STE 101, FLUSHING, NY 11355(718) 353-2312(718) 321-7120 Get Directions Write a Review

NPPES record last updated: April 2, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Divine Dental Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DIVINE DENTAL PC (NPI 1235454208) is a healthcare organization registered as a general practice in Flushing, New York and active in the NPI registry since April 2010. The organization lists Kevin Seokkyu Lee, Dentist/owner, as its authorized official.

NPPES Registry Identity

NPI1235454208

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameDIVINE DENTAL PC

Location Address4125 KISSENA BLVD STE 101Flushing, NY 11355-3153

Mailing Address4125 Kissena Blvd Ste 101Flushing, NY 11355-3153 · (718) 353-2312 · Fax (718) 321-7120

Phone(718) 353-2312

Fax(718) 321-7120

Organization SubpartNo

Authorized OfficialKevin Seokkyu LeeDentist/owner · (718) 353-2312

Enumeration DateApril 2, 2010

✔ NPI 1235454208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in NY · 052968-1

Definition

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.

4125 KISSENA BLVD STE 101, Flushing, NY 11355

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Divine Dental PC's NPI number?

The NPI number for Divine Dental PC is 1235454208. It was assigned to this organization in the NPPES registry on April 2, 2010.

Where is Divine Dental PC located?

Divine Dental PC is located at 4125 Kissena Blvd Ste 101, Flushing, NY 11355. The listed phone number is (718) 353-2312.

What is Divine Dental PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Divine Dental PC was last updated on April 2, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.