OrganizationActive
J. Kim Periodontics, LLC
NPI 1629198551 · Periodontics · Port Orange, FL
J. Kim Periodontics, LLC is a Periodontics organization in Port Orange, FL (NPI 1629198551).
Provider details
- NPI number
- 1629198551
- Entity type
- Organization
- Primary specialty
- PeriodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Jeffrey Kim, Owner(386) 322-4867
- License
- DN13917 (FL)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
4570 S Clyde Morris Blvd
Suite 1
Port Orange, FL 32129-5401
Phone: (386) 322-4867
Street-level locationGet directions
Mailing address
4570 S Clyde Morris Blvd
Port Orange, FL 32129-5401
Registry dates
- Enumerated
- 2007-04-02
- Last updated
- 2007-09-28
Frequently asked questions
- What is J. Kim Periodontics, LLC's NPI number?
- J. Kim Periodontics, LLC's National Provider Identifier (NPI) is 1629198551, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is J. Kim Periodontics, LLC?
- J. Kim Periodontics, LLC is classified in the NPPES registry as Periodontics (Dental Providers).
- Where is J. Kim Periodontics, LLC located?
- J. Kim Periodontics, LLC's practice location on file with NPPES is 4570 S Clyde Morris Blvd, Port Orange, FL 32129-5401.
- What is J. Kim Periodontics, LLC's phone number?
- The practice phone number listed in the NPPES registry for J. Kim Periodontics, LLC is (386) 322-4867.
- Who is the authorized official for J. Kim Periodontics, LLC?
- The authorized official listed on J. Kim Periodontics, LLC's NPPES record is Jeffrey Kim, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is J. Kim Periodontics, LLC's NPI active?
- Yes — J. Kim Periodontics, LLC's NPI (1629198551) is active in the NPPES registry as of the last update on 2007-09-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.