Modern Periodontics, Pa

LBN: Modern Periodontics, Pa
Modern Periodontics, Pa is an health care organization with primary practice located at 1409 Kingsley Ave Suite 9A, Orange Park FL 32073-4537. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Modern Periodontics, Pa can be contacted via phone (904) 278-1175, or through Kuznia, Angeline Ann via phone (904) 278-1175.

Contact Information

Primary practice address
1409 Kingsley Ave Suite 9A Orange Park FL 32073-4537
Phone: (904) 278-1175
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kuznia, Angeline Ann DMD, MS
Phone: (904) 278-1175

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DN15267 Florida
Dental Providers / Dentist 122300000X DN17936 Florida

Profile Details

NPI number 1922428879
LBN Legal business name Modern Periodontics, Pa
DBA Doing business as
Authorized official Kuznia, Angeline Ann DMD, MS
Entity Organization
Organization subpart 1 No
Enumeration date Apr 18th, 2014
Last updated Apr 18th, 2014 - about 10 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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