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

Modern Periodontics

Organization Dentist · NPI 1174942304

Modern Periodontics is a Dentist in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2014.

Licensed in
FL
In the registry since
2014
Specialties on file
2

Practice location Address checks out

3434 Atlantic Blvd Ste 1
Jacksonville, FL 32207
Phone: (904) 398-1136
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DN15267 (FL)
Dentist Taxonomy 122300000X · Licence DN17936 (FL)

Record details

NPI number1174942304
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Angeline Kuznia — Owner/Dentist · (904) 278-1175
NPI enumeratedApril 15, 2014
Last updated in NPPESApril 17, 2014
Mailing address1409 Kingsley Ave, Suite 9a, Orange Park, FL 32073-4537

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