Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cosmetic & Implant Designs Group PA

Organization Dental Clinic/Center · NPI 1457095630

Cosmetic & Implant Designs Group PA is a Dental Clinic/Center in Coconut Creek, Florida. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

4825 Coconut Creek Pkwy
Coconut Creek, FL 33063-3944
Phone: (954) 642-2203
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1457095630
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Johnny Peralta Lee — Owner · (954) 394-9364
NPI enumeratedApril 25, 2022
Last updated in NPPESApril 25, 2022
Certification dateApril 25, 2022
Mailing address4825 Coconut Creek Pkwy, Coconut Creek, FL 33063-3944

Other providers in Coconut Creek