Divine Dental Llc is a Dental Clinic in Baltimore, Maryland. This organization is also known as sub part of Divine Dental Llc. It is located at 4801 Ritchie Hwy, Baltimore, MD and its contact number is 410-789-5228. The authorized person for Divine Dental Llc is Maryellen Desrochers
who is Office Manager of the clinic and their contact number is 410-789-5228. The primary license number for Divine Dental Llc is 7069 (General Practice) in Maryland.
Divine Dental Llc 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 Dental Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Divine Dental Llc |
| Specialization: | General Practice Dentistry |
| Clinic Address: | 4801 Ritchie Hwy, Baltimore,
Maryland, 21225-3045 |
| Phone: | 410-789-5228 |
| Fax: | 410-789-2162 |
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: | Maryellen Desrochers |
| Position: | Office Manager |
| Contact Number: | 410-789-5228 |
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 Dental Llc clinic are as mentioned below.
| NPI Number: | 1710299268 |
| Parent Organization: | Divine Dental Llc |
| NPI Enumeration Date: | 12 Jul, 2010 |
| NPI Last Update On: | 14 Nov, 2023 |
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 Dental Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| General Practice | 7069 | Maryland | Primary | |
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 Dental Llc
4801 Ritchie Hwy,
Baltimore, Maryland |
| Zip: | 21225-3045 |
| Phone Number: | 410-789-5228 |
| Fax Number: | 410-789-2162 |
Patients can reach Divine Dental Llc at
4801 Ritchie Hwy, Baltimore, Maryland or can
call to book an appointment on 410-789-5228.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.