| Modern Periodontics | |
|
1409 Kingsley Ave Suite 9a Orange Park FL 32073-4537 | |
| (904) 278-1175 | |
| (904) 278-1176 |
| Full Name | Modern Periodontics |
|---|---|
| Speciality | Dentist |
| Location | 1409 Kingsley Ave, Orange Park, Florida |
| Authorized Official Name and Position | Angeline A Kuznia (OWNER) |
| Authorized Official Contact | 9042781175 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Modern Periodontics 1409 Kingsley Ave Suite 9a Orange Park FL 32073-4537 Ph: (904) 278-1175 | Modern Periodontics 1409 Kingsley Ave Suite 9a Orange Park FL 32073-4537 Ph: (904) 278-1175 |
| NPI Number | 1982092326 |
|---|---|
| Provider Enumeration Date | 01/08/2015 |
| Last Update Date | 01/08/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982092326 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN15267 (Florida) | Primary |
| 122300000X | Dentist | DN17936 (Florida) | Secondary |
Blanding Dental Associates P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 767 Blanding Blvd Ste 108, Orange Park, FL 32065 Phone: 904-272-6244 | |
Peden & Hoffman Orthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1406 Kingsley Ave, Ste B, Orange Park, FL 32073 Phone: 904-264-4519 Fax: 904-264-4510 | |
Dental Care At Eagle Landing Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1081 Oakleaf Plantation Pkwy, Orange Park, FL 32065 Phone: 217-540-5100 | |
Coast Dental P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 410 Blanding Blvd Ste 6b, Orange Park, FL 32073 Phone: 904-276-5950 Fax: 904-276-5359 | |
Smith Endodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1520 Business Center Dr, Suite 2, Orange Park, FL 32003 Phone: 904-637-0028 Fax: 904-644-8230 | |
Haeussner Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1409 Kingsley Ave, Bldg. #11, Orange Park, FL 32073 Phone: 904-264-2483 Fax: 904-264-0474 | |
Michael A. Sherman Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2233 Park Ave Ste 401, Orange Park, FL 32073 Phone: 904-269-5520 Fax: 904-215-0071 |