OrganizationActive
Divine Dental LLC
NPI 1710299268 · General Practice Dentistry · Baltimore, MD
Divine Dental LLC is a General Practice Dentistry organization in Baltimore, MD (NPI 1710299268).
Provider details
- NPI number
- 1710299268
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Parent organization
- Divine Dental LLC
- Organization subpart
- Yes
- Authorized official
- Maryellen Desrochers, Office Manager(410) 789-5228
- License
- 7069 (MD)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
4801 Ritchie Hwy
Baltimore, MD 21225-3045
Phone: (410) 789-5228
Fax: (410) 789-2162
Street-level locationGet directions
Mailing address
4801 Ritchie Hwy
Baltimore, MD 21225-3045
Other names (DBA / former)
- Doing business as
- Brooklyn Park Dental Center
Registry dates
- Enumerated
- 2010-07-12
- Last updated
- 2023-11-14
- Certified
- 2023-11-14
Frequently asked questions
- What is Divine Dental LLC's NPI number?
- Divine Dental LLC's National Provider Identifier (NPI) is 1710299268, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Divine Dental LLC?
- Divine Dental LLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Divine Dental LLC located?
- Divine Dental LLC's practice location on file with NPPES is 4801 Ritchie Hwy, Baltimore, MD 21225-3045.
- What is Divine Dental LLC's phone number?
- The practice phone number listed in the NPPES registry for Divine Dental LLC is (410) 789-5228.
- Who is the authorized official for Divine Dental LLC?
- The authorized official listed on Divine Dental LLC's NPPES record is Maryellen Desrochers, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Divine Dental LLC's NPI active?
- Yes — Divine Dental LLC's NPI (1710299268) is active in the NPPES registry as of the last update on 2023-11-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.