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

J. Kim Periodontics, LLC

Organization Periodontics · NPI 1629198551

J. Kim Periodontics, LLC is a Periodontics in Port Orange, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4570 S Clyde Morris Blvd Ste 1
Port Orange, FL 32129-5401
Phone: (386) 322-4867
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence DN13917 (FL)

Record details

NPI number1629198551
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Kim — Owner · (386) 322-4867
NPI enumeratedApril 2, 2007
Last updated in NPPESSeptember 28, 2007
Mailing address4570 S Clyde Morris Blvd, Suite 1, Port Orange, FL 32129-5401

Other providers in Port Orange