Organization Active NPI

Divine Dental Annapolis

  • Dentist
  • Annapolis, MD
National Provider Identifier
1821930108
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
DIVINE DENTAL ANNAPOLIS
Practice address
37 Old Solomons Island Rd Ste 1
Annapolis, MD 21401-3985
Phone
(410) 224-4411
NPI assigned
Apr 7, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

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

Authorized official

Name
Frederick J Flanagan II, DDSNPI 1730811456
Title
Owner
Phone
(410) 789-5228

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

37 Old Solomons Island Rd Ste 1
Annapolis, MD 21401-3985

Mailing address

4801 Ritchie Hwy
Baltimore, MD 21225-3045
Phone (410) 789-5228

National Provider Directory

National Provider Directory

Locations

37 Old Solomons Island Rd
Ste 1
Annapolis, MD 21401
Phone (410) 224-4411

4801 Ritchie Hwy
Baltimore, MD 21225
Phone (410) 789-5228

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1775520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775520000000",
    "number": "1821930108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 RITCHIE HWY",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212253045",
            "telephone_number": "410-789-5228",
            "fax_number": "410-789-2162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 OLD SOLOMONS ISLAND RD STE 1",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013985",
            "telephone_number": "410-224-4411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE DENTAL ANNAPOLIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-07",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A",
        "authorized_official_last_name": "FLANAGAN",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-789-5228",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2026; 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.