J. Kim Periodontics, Llc

LBN: J. Kim Periodontics, Llc
J. Kim Periodontics, Llc is an health care organization with primary practice located at 4570 S Clyde Morris Blvd Suite 1, Port Orange FL 32129-5401. The organization recently has only one registered license in Dental Providers / Periodontics, which is considered as the primary health care specialty. J. Kim Periodontics, Llc can be contacted via phone (386) 322-4867, or through Kim, Jeffrey M via phone (386) 322-4867.

Contact Information

Primary practice address
4570 S Clyde Morris Blvd Suite 1 Port Orange FL 32129-5401
Phone: (386) 322-4867
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kim, Jeffrey M Doctor of Dental Surgery (DDS)
Phone: (386) 322-4867

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X DN13917 Florida

Profile Details

NPI number 1629198551
LBN Legal business name J. Kim Periodontics, Llc
DBA Doing business as
Authorized official Kim, Jeffrey M Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 2nd, 2007
Last updated Sep 28th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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