Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Divine Dermatology and Surgical Institute, PLLC

Organization Dermatology Physician · NPI 1104452804

Divine Dermatology and Surgical Institute, PLLC provides Dermatology Physician services in Loveland, Colorado. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1327 Eagle Dr
Loveland, CO 80537-8059
Phone: (970) 286-2668
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1104452804
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationDivine Dermatology and Surgical Institute, PLLC
Authorized official Jennifer Divine — Owner · (970) 286-2668
Other names Divine Dermatology And Surgical Institute
NPI enumeratedMarch 14, 2020
Last updated in NPPESMarch 14, 2020
Certification dateMarch 14, 2020
Mailing address1327 Eagle Dr, Loveland, CO 80537-8059

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