Divine Dentistry LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DIVINE DENTISTRY LLC

Practice address

6141 Peachtree Pkwy
Norcross, GA 30092-3304

Phone

(678) 364-2939

NPI assigned

Jun 6, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Folarera Ajose-Adeogun

Title

Owner

Phone

(678) 364-2939

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Taheia Turner Dozier, D.D.S.

  • General Practice Dentistry
  • Norcross, GA
  • NPI 1568575280
  NPD
• Feyishayo Dahunsi, DDS

  • General Practice Dentistry
  • Atlanta, GA
  • NPI 1417556630
  NPD (past)
• Safa Shamim Dalwai, DMD

  • Dentist
  • Spring, TX
  • NPI 1528617289

  General Practice

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1686009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686614400000",
    "number": "1528752250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70887",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441900887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6141 PEACHTREE PKWY",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300923304",
            "telephone_number": "678-364-2939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-06",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A",
        "authorized_official_last_name": "AJOSE-ADEOGUN",
        "authorized_official_first_name": "FOLARERA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-364-2939"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Norma Page Dickey, LCSW
• Hannah Dinh
• To Nga Thi Dinh, D.M.D.
• Tene Emma Laeticia Dioma, MS
• Alana M Dison
• Divine Light Hospice LLC
• DME Station
• Quynh CHI N DO, DOCTOR OF PHARMACY
• Heman B Dodani, M.D.
• Allison Ballay Donnelly, CCC-SLP

• General Practice Dentistry in Norcross, GA
• Providers in Norcross, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.