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DIVINE DENTISTRY PC
NPI 1427756949
Dentist - General Practice in Fairfield, CT

Active since February 23, 2023
2452 BLACK ROCK TPKE STE 12, FAIRFIELD, CT 06825(203) 372-9848 Get Directions Write a Review

NPPES record last updated: February 23, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Divine Dentistry Pc NPPES

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

DIVINE DENTISTRY PC (NPI 1427756949), doing business as Divine Dentistry At Fairfield, is a healthcare organization registered as a general practice in Fairfield, Connecticut and active in the NPI registry since February 2023. The organization lists Alexia Kennedy, Receptionist, as its authorized official.

NPPES Registry Identity

NPI1427756949
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameDIVINE DENTISTRY PC
Location Address2452 BLACK ROCK TPKE STE 12Fairfield, CT 06825-2417
Mailing Address2452 Black Rock Tpke Ste 12Fairfield, CT 06825-2417 · (203) 372-9848
Phone(203) 372-9848
Organization SubpartNo
Authorized OfficialAlexia KennedyReceptionist · (203) 372-9848
Enumeration DateFebruary 23, 2023
NPPES CertifiedFebruary 23, 2023
✔ NPI 1427756949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
2452 BLACK ROCK TPKE STE 12, Fairfield, CT 06825
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Other Names 1

Doing Business AsDivine Dentistry At Fairfield

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 Dentistry PC's NPI number?

The NPI number for Divine Dentistry PC is 1427756949. It was assigned to this organization in the NPPES registry on February 23, 2023. The provider is doing business as Divine Dentistry at Fairfield.

Where is Divine Dentistry PC located?

Divine Dentistry PC is located at 2452 Black Rock Tpke Ste 12, Fairfield, CT 06825. The listed phone number is (203) 372-9848.

What is Divine Dentistry 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 Dentistry PC was last updated on February 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.