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

Modern Periodontics, PA

Organization Dentist · NPI 1922428879

Modern Periodontics, PA provides Dentist services in Orange Park, Florida. Licensed in Florida. Registered with an NPI since 2014.

Licensed in
FL
In the registry since
2014
Specialties on file
2
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1409 Kingsley Ave Ste 9A
Orange Park, FL 32073-4537 Not confirmed with CMS for 12 years — call before visiting
Phone: (904) 278-1175
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DN15267 (FL)
Dentist Taxonomy 122300000X · Licence DN17936 (FL)

Record details

NPI number1922428879
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Angeline Kuznia — Dentist/Owner · (904) 278-1175
NPI enumeratedApril 18, 2014
Last updated in NPPESApril 18, 2014
Mailing address1409 Kingsley Ave, Suite 9a, Orange Park, FL 32073-4537

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