Healthcare Provider Details

I. General information

NPI: 1134010739
Provider Name (Legal Business Name): GARDENS IMPLANT AND COSMETIC DENTISTRY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/11/2025
Last Update Date: 07/11/2025
Certification Date: 07/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3375 BURNS RD STE 209
PALM BEACH GARDENS FL
33410-4361
US

IV. Provider business mailing address

3375 BURNS RD STE 209
PALM BEACH GARDENS FL
33410-4361
US

V. Phone/Fax

Practice location:
  • Phone: 561-691-1629
  • Fax:
Mailing address:
  • Phone: 561-691-1629
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1223P0300X
TaxonomyPeriodontics
License Number
License Number State

VIII. Authorized Official

Name: HANS ALMANZAR
Title or Position: DENTIST
Credential: DDS
Phone: 404-702-0008