MEDICARE: DR. ANAT GOZLAN DMD

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	1223G0001X	General Practice Dentistry	DN30252	FL
2	122300000X	Dentist	DRPM2575	FL

General Provider Information

NPI Number	:	1053008490
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANAT GOZLAN DMD

Provider Business Mailing Address
First Line	:	7165 W OAKLAND PARK BLVD
Second Line	:
City	:	LAUDERHILL
State	:	FL
Zip	:	33313-1038
Country	:	US
Telephone Number	:	954-228-5935
Fax Number	:

Provider Business Practice Location Address
First Line	:	7165 W OAKLAND PARK BLVD
Second Line	:
City	:	LAUDERHILL
State	:	FL
Zip	:	33313-1038
Country	:	US
Telephone Number	:	954-228-5935
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/18/2023
Last Update Date	:	08/18/2025

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