MODERN PERIODONTICS, PA
NPI 1922428879
Dentist in Orange Park, FL

Q: What is Modern Periodontics, PA's NPI number?

The NPI number for Modern Periodontics, PA is 1922428879. It was assigned to this organization in the NPPES registry on April 18, 2014.

Q: What is Modern Periodontics, PA's specialty?

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

Active since April 18, 2014

1409 KINGSLEY AVE, SUITE 9A, ORANGE PARK, FL 32073(904) 278-1175 Get Directions Write a Review

NPPES record last updated: April 18, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Modern Periodontics, Pa NPPES

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

MODERN PERIODONTICS, PA (NPI 1922428879) is a healthcare organization registered as a dentist in Orange Park, Florida and active in the NPI registry since April 2014. The organization lists Angeline Ann Kuznia, Dentist/owner, as its authorized official.

NPPES Registry Identity

NPI1922428879

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameMODERN PERIODONTICS, PA

Location Address1409 KINGSLEY AVE, SUITE 9AOrange Park, FL 32073-4537

Mailing Address1409 Kingsley Ave, Suite 9aOrange Park, FL 32073-4537 · (904) 278-1175

Phone(904) 278-1175

Organization SubpartNo

Authorized OfficialAngeline Ann KuzniaDentist/owner · (904) 278-1175

Enumeration DateApril 18, 2014

✔ NPI 1922428879 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.

1409 KINGSLEY AVE, Orange Park, FL 32073

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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 20

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

PETER PERRY P.A.-C

Physician Assistant (Medical)

1409 KINGSLEY AVE, SUITE 6A
ORANGE PARK, FL 32073

Clay County (904) 264-7517

ELIZABETH BLAKE CURTIS

Occupational Therapist (Hand)

1409 KINGSLEY AVE, SUITE 6B
ORANGE PARK, FL 32073

Clay County (904) 215-2422

HAEUSSNER DENTAL GROUP

Dentist (General Practice)

1409 KINGSLEY AVE, BLDG. #11
ORANGE PARK, FL 32073

Clay County (904) 264-2483

LYNDSEY MCCOOL L.M.T.

Massage Therapist

1409 KINGSLEY AVE
ORANGE PARK, FL 32073

Clay County (904) 348-5511

JAMES LAVIN PTA

Physical Therapy Assistant

1409 KINGSLEY AVE
ORANGE PARK, FL 32073

Clay County (407) 497-3266

DR. BRIAN DAVID HAEUSSNER D.M.D.

Dentist (General Practice)

1409 KINGSLEY AVE, #11
ORANGE PARK, FL 32073

Clay County (904) 264-2483

ANNA-MARIE VENERACION-YUMUL, MD, PA

Psychiatry & Neurology (Psychiatry)

1409 KINGSLEY AVE, STE 9E
ORANGE PARK, FL 32073

Clay County (904) 215-4151

ORANGE PARK SPINE INSTITUTE LLC

Orthopaedic Surgery (Orthopaedic Surgery of the Spine)

1409 KINGSLEY AVE, SUITE 1D
ORANGE PARK, FL 32073

Clay County (904) 504-7767

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, PA's NPI number?

The NPI number for Modern Periodontics, PA is 1922428879. It was assigned to this organization in the NPPES registry on April 18, 2014.

Where is Modern Periodontics, PA located?

Modern Periodontics, PA is located at 1409 Kingsley Ave Suite 9A, Orange Park, FL 32073. The listed phone number is (904) 278-1175.

What is Modern Periodontics, PA'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, PA was last updated on April 18, 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.