Jeffrey Mark Kim is a Port Orange, Florida based Periodontics who is specialized in Periodontology. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Jeffrey Mark Kim is DN13917 for Periodontology in Florida. His current practice location is 4570 S Clyde Morris Blvd, Suite 1, Port Orange. Patients can reach him at 386-322-4867.
Jeffrey Mark Kim is specialized in that branch of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Complete Profile:
Jeffrey Mark Kim speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Jeffrey Mark Kim
Specialization:
Periodontics
Gender:
Male
Credentials:
DDS
Accepts Medicare Assignment:
No
Practice Address:
4570 S Clyde Morris Blvd, Suite 1, Port Orange, Florida, 32129-5401
Phone:
386-322-4867
Fax:
386-322-3899
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1982974135
NPI Enumeration Date:
05 Jan, 2012
NPI Last Update On:
05 Jan, 2012
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jeffrey Mark Kim are as mentioned below.
License Number
Specialization
State
Status
DN13917
Periodontology
Florida
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Jeffrey Mark Kim such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
DN13917
Other
Florida
STATE LICENSE NUMBER
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
4570 S Clyde Morris Blvd, Suite 1 Port Orange, Florida
Zip:
32129-5401
Patients can reach Jeffrey Mark Kim at 4570 S Clyde Morris Blvd, Suite 1, Port Orange, Florida or can call to book an appointment on 386-322-4867. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.