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DIVINE DENTISTRY
NPI 1427327725
Dentist - General Practice in Diberville, MS

Active since December 16, 2011
11505 CINEMA DR, SUITE 6, DIBERVILLE, MS 39540(228) 396-9000 Get Directions Write a Review

NPPES record last updated: May 20, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Divine Dentistry NPPES

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

DIVINE DENTISTRY (NPI 1427327725) is a healthcare organization registered as a general practice in Diberville, Mississippi and active in the NPI registry since December 2011. The organization maintains a secondary practice location in Gulfport and lists Andrea L Davis, Dentist/owner, as its authorized official.

NPPES Registry Identity

NPI1427327725
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameANDREA L DAVIS DDS PC
Location Address11505 CINEMA DR, SUITE 6Diberville, MS 39540-9704
Mailing Address28 Pass Rd, Suite 300Gulfport, MS 39507-3244 · (228) 863-4009
Phone(228) 396-9000
Organization SubpartNo
Authorized OfficialAndrea L DavisDentist/owner · (228) 863-4009
Enumeration DateDecember 16, 2011
Last NPPES UpdateMay 20, 2021
NPPES CertifiedMay 20, 2021
✔ NPI 1427327725 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MS · 334905
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.
11505 CINEMA DR, Diberville, MS 39540
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Other Names 1

Doing Business AsDivine Dentistry

Secondary Practice Location 1

Location 128 Pass Rd, SUITE 300Gulfport, MS 39507-3244 · Phone (228) 863-4009 · Fax (228) 863-4358

Other Identifiers 1

Medicaid01524745MS

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 Andrea L Davis Dds PC's NPI number?

The NPI number for Andrea L Davis Dds PC is 1427327725. It was assigned to this organization in the NPPES registry on December 16, 2011. The provider is doing business as Divine Dentistry.

Where is Andrea L Davis Dds PC located?

Andrea L Davis Dds PC is located at 11505 Cinema Dr Suite 6, Diberville, MS 39540. The listed phone number is (228) 396-9000.

What is Andrea L Davis Dds 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 Andrea L Davis Dds PC was last updated on May 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.