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MODERN PERIODONTICS
NPI 1174942304
Dentist in Jacksonville, FL

Active since April 15, 2014
3434 ATLANTIC BLVD, SUITE 1, JACKSONVILLE, FL 32207(904) 398-1136 Get Directions Write a Review

NPPES record last updated: April 17, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Modern Periodontics NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MODERN PERIODONTICS (NPI 1174942304) is a healthcare organization registered as a dentist in Jacksonville, Florida and active in the NPI registry since April 2014. The organization lists Angeline Ann Kuznia, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1174942304
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameMODERN PERIODONTICS
Location Address3434 ATLANTIC BLVD, SUITE 1Jacksonville, FL 32207
Mailing Address1409 Kingsley Ave, Suite 9aOrange Park, FL 32073-4537 · (904) 278-1175
Phone(904) 398-1136
Organization SubpartNo
Authorized OfficialAngeline Ann KuzniaOwner/dentist · (904) 278-1175
Enumeration DateApril 15, 2014
Last NPPES UpdateApril 17, 2014
✔ NPI 1174942304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses✔ Licensed in FL · DN15267✔ Licensed in FL · DN17936
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
3434 ATLANTIC BLVD, Jacksonville, FL 32207
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ARCLIGHT HEALTH, P.A.
Acupuncturist
3434 ATLANTIC BLVD, BUILDING B, SUITE 2
JACKSONVILLE, FL 32207
Duval County (904) 398-6400
DR. CLAUDE K SLATER JR. DDS
Dentist
3434 ATLANTIC BLVD, SUITE 1
JACKSONVILLE, FL 32207
Duval County (904) 398-1136

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Modern Periodontics's NPI number?

The NPI number for Modern Periodontics is 1174942304. It was assigned to this organization in the NPPES registry on April 15, 2014.

Where is Modern Periodontics located?

Modern Periodontics is located at 3434 Atlantic Blvd Suite 1, Jacksonville, FL 32207. The listed phone number is (904) 398-1136.

What is Modern Periodontics's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Modern Periodontics was last updated on April 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.