Organization Active NPI

The Dental Group LLC

  • General Practice Dentistry
  • Coconut Creek, FL
National Provider Identifier
1780547612
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
THE DENTAL GROUP LLC
Practice address
1507 Lyons Rd
Coconut Creek, FL 33063-3934
Phone
(954) 974-4104
NPI assigned
Dec 8, 2025
Organization subpart
Yes
Parent organization
THE DENTAL GROUP LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 10, 2025

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

Authorized official

Name
Chris Williams
Title
Payor Strategy Manager
Phone
(832) 969-3381

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1507 Lyons Rd
Coconut Creek, FL 33063-3934

Mailing address

1507 Lyons Rd
Coconut Creek, FL 33063-3934
Phone (954) 974-4104

National Provider Directory

National Provider Directory
Tax ID family
The Dental Group LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1765152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765324800000",
    "number": "1780547612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 LYONS RD",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330633934",
            "telephone_number": "954-974-4104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 LYONS RD",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330633934",
            "telephone_number": "954-974-4104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE DENTAL GROUP LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE DENTAL GROUP LLC",
        "enumeration_date": "2025-12-08",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "PAYOR STRATEGY MANAGER",
        "authorized_official_telephone_number": "832-969-3381"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coconut Creek, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.