DR. KENNETH LEROY ANDERSON III (NPI# 1023230539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023230539 |
Entity Type | Individual |
Full Name | DR. KENNETH LEROY ANDERSON III |
Credential | D.D.S. |
Practice Address |
4372 Commercial Way Spring Hill FL 34606-1965 |
Mailing Address |
7520 Excitement Dr Reunion FL 34747-6748 |
Practice Telephone | 3525966804 |
Mailing Telephone | (312) 402-3250 |
Enumeration Date | 2007-05-03 |
Last Update Date | 2018-03-17 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
D12714 | MN | Dental Providers |
Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
DN 22380 | FL | Dental Providers |
Address | Telephone Number | Fax Number |
---|---|---|
8845 Hawbuck St, Trinity, FL 346555361 | 7273750469 | |
745 W Osceola Parkway, Kissimmee, FL 34741 | 4077021011 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023279080 | Kenneth M Anderson | Physical Therapist | 823 Kennedy St Ne, Washington, DC 20011 | 2008-06-23 |
1063683233 | Kenneth Lee Anderson | Dental Hygienist | 111 Muldoon Rd Apt 5, Anchorage, AK 99504-1435 | 2008-03-17 |
1154469690 | Kenneth William Anderson | Optometrist | 8048 San Miguel Canyon Rd, Salinas, CA 93907-1208 | 2007-02-04 |
1659434108 | Kenneth W Anderson IIi | Family Medicine | 14451 Morningside Rd, Orland Park, IL 60462-7413 | 2006-12-18 |
1528075793 | Kenneth Albert Anderson | Anesthesiology | 6605 Abercorn St Ste 108, Savannah, GA 31405-5896 | 2006-08-01 |
1215951611 | Kenneth David Anderson | Dentist | 204 Mcfarland Cir N, Tuscaloosa, AL 35406-1800 | 2006-07-27 |
1437172533 | Kenneth L. Anderson IIi | Family Medicine | 1945 Garnet Ave, San Diego, CA 92109-3595 | 2006-07-26 |
1467483867 | Kenneth Robert Anderson | Family Medicine | 15701 State Road 50suite 101, Suite 101, Clermont, FL 34711 | 2006-07-05 |
1073569224 | Kenneth Allen Anderson | Physician Assistant | 1321 N Center St, Hickory, NC 28601-2535 | 2006-05-26 |
1508825860 | Kenneth Robert Anderson | Dentist | 132 N West St, Wichita, KS 67203 | 2006-03-23 |
Street Address |
4372 COMMERCIAL WAY |
City | SPRING HILL |
State | FL |
Zip Code | 34606-1965 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245229251 | George Thomas Peak IIi | Dentist | 4372 Commercial Way, Spring Hill, FL 34606-1965 | 2005-10-21 |
1750487013 | Michael A. Pikos D.d.s., P.a. | Dentist | 4372 Commercial Way, Spring Hill, FL 34606-1965 | 2006-09-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679196877 | Ruth A Bertone | Developmental Therapist | 6835 Eastbrook Drive, Spring Hill, FL 34606 | 2020-05-21 |
1023508405 | Ambassador Health Services, Inc. | In Home Supportive Care | 4048 Deltona Blvd, Spring Hill, FL 34606 | 2018-05-11 |
1295233393 | Back To Health Chiropractic LLC | Chiropractor | 3479 Deltona Blvd, Spring Hill, FL 34606 | 2018-01-24 |
1831614080 | Florida Medical Pain Management | Anesthesiology | 5270 Applegate Drive, Spring Hill, FL 34606 | 2017-08-09 |
1639543200 | Green Leaf and Company, LLC | Point of Service | 7364 Lagood Rd, Spring Hill, FL 34606 | 2015-11-19 |
1578993200 | Deltona Home of Tlc Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1287 Deltona Blvd, Spring Hill, FL 34606 | 2013-11-15 |
1407289291 | Leslie Kaye Griffen | Nurse Practitioner | 8391 Omaha Circle, Spring Hill, FL 34606 | 2013-08-15 |
1508200213 | Nic 5 Forest Oaks Leasing LLC | Assisted Living Facility | 8055 Forest Oaks Blvd., Spring Hill, FL 34606 | 2013-04-24 |
1316278807 | Carmen Serrano | Massage Therapist | 8329 Nevada St, Springhill, FL 34606 | 2010-01-22 |
1427299700 | Jeanine Smith Mcneill | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 7338 Spring Hill Dr, Spring Hill, FL 34606 | 2009-03-16 |
Find all providers in zip 34606 |
Taxonomy Code | 1223S0112X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Oral and Maxillofacial Surgery |
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114010907 | Michael Majid Hashemian | Dentist | 32 Seven Hills Dr., Spring Hill, FL 34609 | 2006-10-02 |
1245229251 | George Thomas Peak IIi | Dentist | 4372 Commercial Way, Spring Hill, FL 34606-1965 | 2005-10-21 |
1467511642 | Dolphus Carl Jackson | Dentist | 3098 Campbell Station Pkwy, Spring Hill, TN 37174-6270 | 2006-12-06 |
1750487013 | Michael A. Pikos D.d.s., P.a. | Dentist | 4372 Commercial Way, Spring Hill, FL 34606-1965 | 2006-09-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346862786 | Mikhail Daya Dmd Pa | Dentist | 500 Knights Run Ave Unit 1714, Tampa, FL 33602-6017 | 2020-05-08 |
1578114443 | South Florida Jaw and Facial Surgery-dental Implants Center Pa | Dentist | 7600 S Red Rd Ste 101, South Miami, FL 33143-5429 | 2019-09-23 |
1437703535 | Ambiance Surgical Arts Center | Dentist | 8501 Sw 124th Ave Ste 208, Miami, FL 33183-4633 | 2019-07-26 |
1053979997 | Anand R Patel | Dentist | 1395 Center Dr # D1-56a, Gainesville, FL 32610-3006 | 2019-06-05 |
1801353792 | Oral Maxillofacial and Implant Specialists, LLC | Dentist | 4675 Van Dyke Rd., Lutz, FL 33558 | 2019-02-27 |
1952871030 | Harvey Mossak Oral & Maxillofacial Surgery, Pllc | Dentist | 1211 E Kennedy Blvd Unit 223, Tampa, FL 33602-3559 | 2018-11-30 |
1093283582 | Keith H. Kaner, Dds, Pa | Dentist | 9250 Glades Rd Ste 207, Boca Raton, FL 33434-3958 | 2018-11-02 |
1750858015 | Hebah Omar Aljuhani | Dentist | 253 Ne 2nd St Apt 613, Miami, FL 33132-2289 | 2018-10-25 |
1972089431 | Plantation Dental and Anesthesia Associates | Dentist | 300 Nw 70th Ave Ste 104, Plantation, FL 33317-2360 | 2018-07-17 |
1871079921 | Paul Amailuk | Dentist | 9333 Sw 152nd Street, Oral and Maxillofacial Surgery Department, Miami, FL 33157 | 2018-07-12 |
Find all providers with the same taxonomy |
City | SPRING HILL |
Zip Code | 34606 |
Please comment or provide details below to improve the information on DR. KENNETH LEROY ANDERSON III.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.