Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEFFREY MARK KIM, DDS
Active Sole ProprietorJEFFREY MARK KIM, DDS is a Periodontology healthcare provider located in PORT ORANGE, Florida. NPI 1982974135 is currently active in the NPPES registry. Verify at CMS.
Periodontology · PORT ORANGE, FL
Registration Details
- NPI Number
- 1982974135
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 5, 2012 (14.575500483116 yrs)
- Last Updated
- Jan 5, 2012
- License
-
DN13917 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4570 S CLYDE MORRIS BLVDSUITE 1PORT ORANGE, FL, 321295401Browse FL providers · Browse ZIP 32129
- Phone
- 3863224867
- Fax
- 3863223899
- Primary Specialty
-
Periodontology
1223P0300X
Other Periodontology Providers in PORT ORANGE, FL
| Name | Credential | NPI |
|---|---|---|
| DR. ADRIAN EDWARD ABRAHAMS | D.M.D. | 1396033213 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.