Periodontal & Implant Excellence

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Legal business name

PERIODONTAL & IMPLANT EXCELLENCE

Practice address

2247 Palm Beach Lakes Blvd
#207
West Palm Beach, FL 33409

Phone

(561) 242-2861

Fax

(561) 242-2833

NPI assigned

Jan 9, 2025

Organization subpart

No

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

Authorized official

Name

Kristen Maria Diaz, DMD

Title

Dentist

Phone

(305) 972-0768

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kim Kishin Gandhi, D.D.S.

  • Periodontics
  • West Palm Beach, FL
  • NPI 1396864021
  NPD

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

{
    "created_epoch": "1736380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736380800000",
    "number": "1326858697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2247 PALM BEACH LAKES BLVD",
            "address_2": "#207",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "33409",
            "telephone_number": "561-242-2861",
            "fax_number": "561-242-2833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2247 PALM BEACH LAKES BLVD",
            "address_2": "#207",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "33409",
            "telephone_number": "561-242-2861",
            "fax_number": "561-242-2833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERIODONTAL & IMPLANT EXCELLENCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-09",
        "last_updated": "2025-01-09",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "305-972-0768",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luis M Perezalonso, MD
• Perfect Dental Inc.
• Perfect Dentistry LLC
• Performance Health& Wellness Center Inc
• Perinatal and Gynecologic Specialists of the Palm Beaches Inc
• Periodontics of the Palm Beaches, P.a.
• Rosebert Perissien Jr., CRNA
• Alexis Perkins
• Chaya Perline
• Daniel J Pero, DPM

• Periodontics in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Periodontics in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.