Divine Dentistry is a Dental Clinic in Diberville, Mississippi. It is located at 11505 Cinema Dr, Suite 6, Diberville, MS and its contact number is 228-396-9000. The authorized person for Divine Dentistry is Andrea L Davis
who is Dentist/owner of the clinic and their contact number is 228-863-4009. The primary license number for Divine Dentistry is 334905 (General Practice) in Mississippi. Divine Dentistry Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Divine Dentistry Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Divine Dentistry
Specialization:
General Practice Dentistry
Clinic Address:
11505 Cinema Dr, Suite 6, Diberville, Mississippi, 39540-9704
Phone:
228-396-9000
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Andrea L Davis
Position:
Dentist/owner
Contact Number:
228-863-4009
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Divine Dentistry clinic are as mentioned below.
NPI Number:
1427327725
NPI Enumeration Date:
16 Dec, 2011
NPI Last Update On:
20 May, 2021
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Divine Dentistry are as mentioned below.
Specialization
License Number
State
Status
General Practice
334905
Mississippi
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
01524745
Medicaid
Mississippi
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Divine Dentistry 28 Pass Rd, Suite 300 Gulfport, Mississippi
Zip:
39507-3244
Phone Number:
228-863-4009
Patients can reach Divine Dentistry at 11505 Cinema Dr, Suite 6, Diberville, Mississippi or can call to book an appointment on 228-396-9000. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.