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

Divine Dermatology and Surgical Institute, PLLC

Organization Dermatology Physician · NPI 1104452804

Divine Dermatology and Surgical Institute, PLLC is a Dermatology Physician in Loveland, Colorado. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1327 Eagle Dr
Loveland, CO 80537-8059
Phone: (970) 286-2668
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1104452804
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationDivine Dermatology and Surgical Institute, PLLC
Authorized official Jennifer Divine — Owner · (970) 286-2668
Other names Divine Dermatology And Surgical Institute
NPI enumeratedMarch 14, 2020
Last updated in NPPESMarch 14, 2020
Certification dateMarch 14, 2020
Mailing address1327 Eagle Dr, Loveland, CO 80537-8059

Other providers in Loveland