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J. Kim Periodontics, Llc
Periodontist in Port Orange, Florida
NPI 1629198551

J. Kim Periodontics, Llc is a Periodontist based in Port Orange, FL and is specialized in Periodontics. J. Kim Periodontics, Llc practices in Port Orange, FL. The NPI Number for J. Kim Periodontics, Llc is 1629198551 and holds a License No. DN13917 (Florida).

The current practice location address for J. Kim Periodontics, Llc is 4570 S Clyde Morris Blvd, Port Orange, FL and can be reached out via phone at 386-322-4867.

Location: 4570 S Clyde Morris Blvd, Port Orange, FL, 32129-5401
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1629198551
Provider Name
J. Kim Periodontics, Llc
Credential
Provider Entity Type
Organization
Address
4570 S Clyde Morris Blvd, Port Orange, FL, 32129-5401
Phone Number
386-322-4867
Fax Number
Provider Enumeration Date
04/02/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4570 S Clyde Morris Blvd
City
Port Orange
State
Florida
Zip
32129-5401
Phone Number
386-322-4867
Fax Number
person
Provider Business Mailing Address Details
Address
4570 S Clyde Morris Blvd
City
Port Orange
State
Florida
Zip
32129-5401
Phone Number
386-322-4867
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
DN13917 (Florida)
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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