person
Jeffrey Mark Kim, DDS
Periodontist in Port Orange, Florida
NPI 1982974135

Jeffrey Mark Kim is a Periodontist based in Port Orange, FL and is specialized in Periodontics. Jeffrey Mark Kim practices in Port Orange, FL and has the professional credentials of DDS. The NPI Number for Jeffrey Mark Kim is 1982974135 and holds a License No. DN13917 (Florida).

The current practice location address for Jeffrey Mark Kim is 4570 S Clyde Morris Blvd, Port Orange, FL and can be reached out via phone at 386-322-4867 and via fax at 386-322-3899.

Location: 4570 S Clyde Morris Blvd, Port Orange, FL, 32129-5401
person
Provider Profile Details
NPI Number
1982974135
Provider Name
Jeffrey Mark Kim
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
4570 S Clyde Morris Blvd, Port Orange, FL, 32129-5401
Phone Number
386-322-4867
Fax Number
386-322-3899
Provider Enumeration Date
01/05/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DN13917 01 FL STATE LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
4570 S Clyde Morris Blvd
City
State
Zip
32129-5401
Phone Number
386-322-4867
Fax Number
386-322-3899
person
Provider Business Mailing Address Details
Address
4570 S Clyde Morris Blvd
City
State
Zip
32129-5401
Phone Number
386-322-4867
Fax Number
386-322-3899
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
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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