Palm Beach Center for Periodontics & Implant Dentistry, P.a.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DN15122 Issued in FL

Legal business name

PALM BEACH CENTER FOR PERIODONTICS & IMPLANT DENTISTRY, P.A.

Practice address

4520 Donald Ross Road, Suite 110
Palm Beach Gardens, FL 33410

Phone

(561) 691-0020

NPI assigned

Nov 17, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Lee Robert Cohen, D.D.S., M.S., M.S.NPI 1932272754

Title

President

Phone

(561) 691-0020

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, and the practitioner matching its NPPES authorized official.

• Lee Robert Cohen, D.D.S., M.S., M.S.

  • Periodontics
  • Palm Beach Gardens, FL
  • NPI 1932272754
  NPD (past) Authorized official

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457424269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4520 DONALD ROSS ROAD, SUITE 110",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "33410",
            "telephone_number": "561-691-0020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4520 DONALD ROSS ROAD, SUITE 110",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "33410",
            "telephone_number": "561-691-0020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM BEACH CENTER FOR PERIODONTICS & IMPLANT DENTISTRY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-691-0020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., M.S., M.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "DN15122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bebe Clarnuelyn Pajo, MD
• Erin L Pallard, LCSW
• Palm
• Palm Beach Cardiology Center Inc
• Palm Beach Cardiovascular Clinic LLC
• Palm Beach County Board of County Commissioner
• Palm Beach County Family Care & Support LLC D/B/a 2ND Family
• Palm Beach Critical Care, PLLC
• Palm Beach Diagnostics Holding, LLC (Advanced Diagnostic Group)
• Palm Beach Elite Counseling Services, LLC

• Dental Clinic/Center in Palm Beach Gardens, FL
• Providers in Palm Beach Gardens, FL by specialty
• Dental Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.