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

Jeffrey Mark Kim, DDS

Individual provider Periodontics · NPI 1982974135

Jeffrey Mark Kim, DDS is a Periodontics in Port Orange, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2012
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

4570 S Clyde Morris Blvd Ste 1
Port Orange, FL 32129-5401
Phone: (386) 322-4867
Fax: (386) 322-3899
Show map & directions

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 number1982974135
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedJanuary 5, 2012
Last updated in NPPESJanuary 5, 2012
Mailing address4570 S Clyde Morris Blvd, Suite 1, Port Orange, FL 32129-5401

Other providers in Port Orange