Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Northstar Professional Group PA

Organization Oral & Maxillofacial Surgery (D.M.D.) · NPI 1275441008

Northstar Professional Group PA is an Oral & Maxillofacial Surgery (D.M.D.) in Clermont, Florida. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

17075 Cagan Ridge Blvd Ste 103
Clermont, FL 34714-9619
Phone: (818) 523-7253
Show map & directions

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

Specialties & licences

Oral & Maxillofacial Surgery (D.M.D.) (primary) Taxonomy 204E00000X

Record details

NPI number1275441008
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shin Kim — President · (818) 523-7253
NPI enumeratedSeptember 1, 2026
Last updated in NPPESSeptember 1, 2026
Certification dateSeptember 1, 2026
Mailing address17075 Cagan Ridge Blvd Ste 103, Clermont, FL 34714-9619