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BROOKLYN PARK DENTAL CENTER
NPI 1710299268
Dentist - General Practice in Baltimore, MD

Active since July 12, 2010
4801 RITCHIE HWY, BALTIMORE, MD 21225(410) 789-5228(410) 789-2162 Get Directions Write a Review

NPPES record last updated: November 14, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Brooklyn Park Dental Center NPPES

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

BROOKLYN PARK DENTAL CENTER (NPI 1710299268) is a healthcare organization registered as a general practice in Baltimore, Maryland and active in the NPI registry since July 2010. The organization lists Maryellen Desrochers, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1710299268
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameDIVINE DENTAL LLC
Location Address4801 RITCHIE HWYBaltimore, MD 21225-3045
Mailing Address4801 Ritchie HwyBaltimore, MD 21225-3045 · (410) 789-5228 · Fax (410) 789-2162
Phone(410) 789-5228
Fax(410) 789-2162
Organization SubpartYes
Authorized OfficialMaryellen DesrochersOffice Manager · (410) 789-5228
Enumeration DateJuly 12, 2010
Last NPPES UpdateNovember 14, 2023
NPPES CertifiedNovember 14, 2023
✔ NPI 1710299268 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MD · 7069
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.
4801 RITCHIE HWY, Baltimore, MD 21225
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Other Names 1

Doing Business AsBrooklyn Park Dental Center

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. STEPHEN JAY GANDEL D.D.S.
Dentist (General Practice)
4801 RITCHIE HWY
BALTIMORE, MD 21225
Baltimore City (410) 789-5228

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 LLC's NPI number?

The NPI number for Divine Dental LLC is 1710299268. It was assigned to this organization in the NPPES registry on July 12, 2010. The provider is doing business as Brooklyn Park Dental Center.

Where is Divine Dental LLC located?

Divine Dental LLC is located at 4801 Ritchie Hwy, Baltimore, MD 21225. The listed phone number is (410) 789-5228.

What is Divine Dental LLC's specialty?

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

What insurance does Divine Dental LLC accept?

Health plans from UnitedHealthcare list Divine Dental LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Divine Dental LLC was last updated on November 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.