| Divine Dentistry Pc | |
|
2452 Black Rock Tpke Ste 12 Fairfield CT 06825-2417 | |
| (203) 372-9848 | |
| Not Available |
| Full Name | Divine Dentistry Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2452 Black Rock Tpke Ste 12, Fairfield, Connecticut |
| Authorized Official Name and Position | Alexia Kennedy (RECEPTIONIST) |
| Authorized Official Contact | 2033729848 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Divine Dentistry Pc 2452 Black Rock Tpke Ste 12 Fairfield CT 06825-2417 Ph: (203) 372-9848 | Divine Dentistry Pc 2452 Black Rock Tpke Ste 12 Fairfield CT 06825-2417 Ph: (203) 372-9848 |
| NPI Number | 1427756949 |
|---|---|
| Provider Enumeration Date | 02/23/2023 |
| Last Update Date | 02/23/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427756949 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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