Individual provider · Type 1 NPI
Jeffrey Mark Kim, DDS
Periodontics · Port Orange, FL
NPI number
1982974135
Active
Practice location
4570 S Clyde Morris Blvd, Suite 1
Port Orange, FL 32129-5401
Fax (386) 322-3899
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | DN13917 (FL) |
Periodontics: 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.
Another provider at this address
Other periodontics providers in Port Orange
About NPI 1982974135
Jeffrey Mark Kim, DDS's National Provider Identifier is 1982974135, issued on Jan 5, 2012. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Port Orange, FL. The record was last updated on Jan 5, 2012.