MEDICARE: PALM SPRING DENTAL LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QD0000X	Dental Clinic/Center

General Provider Information

NPI Number	:	1699620633
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PALM SPRING DENTAL LLC

Provider Business Mailing Address
First Line	:	3729 LAKE WORTH RD
Second Line	:
City	:	PALM SPRINGS
State	:	FL
Zip	:	33461-4033
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3729 LAKE WORTH RD
Second Line	:
City	:	PALM SPRINGS
State	:	FL
Zip	:	33461-4033
Country	:	US
Telephone Number	:	561-201-8078
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ARIEL COHEN
Credential	:	DDS
Telephone Number	:	561-321-5939

Provider Enumeration Date	:	03/04/2026
Last Update Date	:	03/04/2026

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