Angeline Ann Kuznia III, D.M.D., M.S.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DN15267 Issued in FL

Practice address

1409 Kingsley Ave
Suite 9a
Orange Park, FL 32073-4537

Phone

(904) 278-1175

Fax

(904) 278-1176

NPI assigned

Jun 30, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Modern Periodontics

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  Authorized official Same address or phone
• Modern Periodontics, PA

  • Dentist
  • Orange Park, FL
  • NPI 1922428879
  Authorized official Same address or phone
• Periodontal Specialists of North Florida

  dba Modern Periodontics

  • Dentist
  • Orange Park, FL
  • NPI 1982092326
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710915335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7928 HAMPTON PARK BLVD E",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322562945",
            "telephone_number": "904-642-2675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 KINGSLEY AVE",
            "address_2": "SUITE 9A",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734537",
            "telephone_number": "904-278-1175",
            "fax_number": "904-278-1176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUZNIA",
        "first_name": "ANGELINE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.M.D., M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": "DN15267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krop-Neidigh PA (Community Behavioral Services)
• Jennifer Ann Kuhlken
• Dawnel Louise Kuhn, LMHC, CCTP, CGP
• Thomas Kunnen, PHARMD
• Craig Phillip Kurtz, LMHC, CAP
• Reina Kwon, MD
• Arielle Aileen Labrecque, PT, DPT
• Ashlee Lafavor
• Robin Donadio Lafleur, APRN
• Robert David Lafrance III, CRNA

• Periodontics in Orange Park, FL
• Providers in Orange Park, FL by specialty
• Periodontics in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.