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

Modern Periodontics, PA

Organization Dentist · NPI 1922428879

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

Licensed in
FL
In the registry since
2014
Specialties on file
2
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1409 Kingsley Ave Ste 9A
Orange Park, FL 32073-4537
Phone: (904) 278-1175
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 number1922428879
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Angeline Kuznia — Dentist/Owner · (904) 278-1175
NPI enumeratedApril 18, 2014
Last updated in NPPESApril 18, 2014
Mailing address1409 Kingsley Ave, Suite 9a, Orange Park, FL 32073-4537

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