Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Divine Dental PC

Organization General Practice Dentistry · NPI 1235454208

Divine Dental PC is a General Practice Dentistry in Flushing, New York. Licensed in New York. Registered with an NPI since 2010.

Licensed in
NY
In the registry since
2010
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4125 Kissena Blvd Ste 101
Flushing, NY 11355-3153
Phone: (718) 353-2312
Fax: (718) 321-7120
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 052968-1 (NY)

Record details

NPI number1235454208
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kevin Lee — Dentist/Owner · (718) 353-2312
NPI enumeratedApril 2, 2010
Last updated in NPPESApril 2, 2010
Mailing address4125 Kissena Blvd Ste 101, Flushing, NY 11355-3153

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