Jeffrey Mark Kim, DDS
Jeffrey Mark Kim is a Periodontics provider (Dentist) practicing in Port Orange, FL, registered in the NPPES registry with NPI 1982974135 since 2012. The credential DDS stands for Doctor of Dental Surgery. Practices at J. Kim Periodontics, LLC (listed at the same practice address in NPPES).
✓ Active NPI ✓ Valid NPI checksum Sole proprietor
| NPI | 1982974135 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Jeffrey Mark Kim |
| Credential | DDS |
| Sex | Male |
| Practice address | Port Orange, FL, 32129 |
| Phone | 3863224867 |
| Fax | 3863223899 |
| Enumeration date | 2012-01-05 |
| Last updated in NPPES | 2012-01-05 |
Street address withheld — NPPES sole-proprietor addresses can be home addresses. See our data policy.
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1223P0300X | Periodontics | Primary | DN13917 | FL |
DDS — Doctor of Dental Surgery: A licensed dentist; DDS and DMD are equivalent dental degrees. About the DDS credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DN13917 | Other | FL | STATE LICENSE NUMBER |
Copy-ready billing details
Provider: Jeffrey Kim, DDS NPI: 1982974135 Taxonomy: 1223P0300X (Periodontics) Address: Port Orange, FL, 32129
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1629198551 | J. Kim Periodontics, LLC | Organization | Periodontics | Port Orange, FL |
Verify this record
Cross-check NPI 1982974135 against the authoritative CMS record: view Jeffrey Mark Kim on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Where does Jeffrey Kim practice?
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2012-01-05.