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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

NORTHSTAR PROFESSIONAL GROUP PA
NPI 1275441008
Oral & Maxillofacial Surgery in Clermont, FL

Active since September 01, 2026
17075 CAGAN RIDGE BLVD STE 103, CLERMONT, FL 34714(818) 523-7253 Get Directions Write a Review

NPPES record added: September 1, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Northstar Professional Group Pa NPPES

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

NORTHSTAR PROFESSIONAL GROUP PA (NPI 1275441008) is a healthcare organization registered as an oral & maxillofacial surgery in Clermont, Florida and active in the NPI registry since September 2026. The organization lists Shin Kim, President, as its authorized official.

NPPES Registry Identity

NPI1275441008
Entity TypeOrganization
Primary Taxonomy204E00000X
Legal Business NameNORTHSTAR PROFESSIONAL GROUP PA
Location Address17075 CAGAN RIDGE BLVD STE 103Clermont, FL 34714-9619
Mailing Address17075 Cagan Ridge Blvd Ste 103Clermont, FL 34714-9619 · (818) 523-7253
Phone(818) 523-7253
Organization SubpartNo
Authorized OfficialShin KimPresident · (818) 523-7253
Enumeration DateSeptember 1, 2026
NPPES CertifiedSeptember 1, 2026
✔ NPI 1275441008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
17075 CAGAN RIDGE BLVD STE 103, Clermont, FL 34714
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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 SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

SUNSHINE ORAL SURGERY II, P.A.
Dentist (Oral and Maxillofacial Surgery)
17075 CAGAN RIDGE BLVD STE 103
CLERMONT, FL 34714
Lake County (516) 376-8471

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 Northstar Professional Group PA's NPI number?

The NPI number for Northstar Professional Group PA is 1275441008. It was assigned to this organization in the NPPES registry on September 1, 2026.

Where is Northstar Professional Group PA located?

Northstar Professional Group PA is located at 17075 Cagan Ridge Blvd Ste 103, Clermont, FL 34714. The listed phone number is (818) 523-7253.

What is Northstar Professional Group PA's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

When was this NPI record last updated?

The NPPES record for Northstar Professional Group PA was last updated on September 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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.