Organization · Type 2 NPI

Modern Periodontics, PA

Dentist · Orange Park, FL

NPI number 1922428879 Active

Practice location

1409 Kingsley Ave, Suite 9A
Orange Park, FL 32073-4537

Call (904) 278-1175 Map

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000XDN15267 (FL)
Dentist 122300000XDN17936 (FL)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1922428879

Modern Periodontics, PA's National Provider Identifier is 1922428879, issued on Apr 18, 2014. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Orange Park, FL. The record was last updated on Apr 18, 2014.