Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

J. Kim Periodontics, LLC

Organization Periodontics · NPI 1629198551

J. Kim Periodontics, LLC provides Periodontics in Port Orange, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4570 S Clyde Morris Blvd Ste 1
Port Orange, FL 32129-5401 Not confirmed with CMS for 19 years — call before visiting
Phone: (386) 322-4867
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence DN13917 (FL)

Record details

NPI number1629198551
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Kim — Owner · (386) 322-4867
NPI enumeratedApril 2, 2007
Last updated in NPPESSeptember 28, 2007
Mailing address4570 S Clyde Morris Blvd, Suite 1, Port Orange, FL 32129-5401

Other providers in Port Orange