OrganizationActive
Modern Periodontics
NPI 1174942304 · Dentist · Jacksonville, FL
Modern Periodontics is a Dentist organization in Jacksonville, FL (NPI 1174942304).
Provider details
- NPI number
- 1174942304
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Angeline Kuznia, Owner/Dentist(904) 278-1175
- License
- DN17936 (FL)
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3434 Atlantic Blvd
Suite 1
Jacksonville, FL 32207
Phone: (904) 398-1136
Street-level locationGet directions
Mailing address
1409 Kingsley Ave
Orange Park, FL 32073-4537
Registry dates
- Enumerated
- 2014-04-15
- Last updated
- 2014-04-17
Frequently asked questions
- What is Modern Periodontics's NPI number?
- Modern Periodontics's National Provider Identifier (NPI) is 1174942304, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Modern Periodontics?
- Modern Periodontics is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Modern Periodontics located?
- Modern Periodontics's practice location on file with NPPES is 3434 Atlantic Blvd, Jacksonville, FL 32207.
- What is Modern Periodontics's phone number?
- The practice phone number listed in the NPPES registry for Modern Periodontics is (904) 398-1136.
- Who is the authorized official for Modern Periodontics?
- The authorized official listed on Modern Periodontics's NPPES record is Angeline Kuznia, Owner/Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Modern Periodontics's NPI active?
- Yes — Modern Periodontics's NPI (1174942304) is active in the NPPES registry as of the last update on 2014-04-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.