OrganizationActive
Divine Dental PC
NPI 1235454208 · General Practice Dentistry · Flushing, NY
Divine Dental PC is a General Practice Dentistry organization in Flushing, NY (NPI 1235454208).
Provider details
- NPI number
- 1235454208
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Kevin Lee, Dentist/Owner(718) 353-2312
- License
- 052968-1 (NY)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4125 Kissena Blvd Ste 101
Flushing, NY 11355-3153
Phone: (718) 353-2312
Fax: (718) 321-7120
Street-level locationGet directions
Mailing address
4125 Kissena Blvd Ste 101
Flushing, NY 11355-3153
Registry dates
- Enumerated
- 2010-04-02
- Last updated
- 2010-04-02
Frequently asked questions
- What is Divine Dental PC's NPI number?
- Divine Dental PC's National Provider Identifier (NPI) is 1235454208, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Divine Dental PC?
- Divine Dental PC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Divine Dental PC located?
- Divine Dental PC's practice location on file with NPPES is 4125 Kissena Blvd Ste 101, Flushing, NY 11355-3153.
- What is Divine Dental PC's phone number?
- The practice phone number listed in the NPPES registry for Divine Dental PC is (718) 353-2312.
- Who is the authorized official for Divine Dental PC?
- The authorized official listed on Divine Dental PC's NPPES record is Kevin Lee, Dentist/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Divine Dental PC's NPI active?
- Yes — Divine Dental PC's NPI (1235454208) is active in the NPPES registry as of the last update on 2010-04-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.