DR. KENNETH LEROY ANDERSON III


Address: 4372 Commercial Way, Spring Hill, FL 34606-1965
Phone: 3525966804

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).

Provider Overview

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

Taxonomy

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

Provider Secondary Practice Location

Address Telephone Number Fax Number
8845 Hawbuck St, Trinity, FL 346555361 7273750469
745 W Osceola Parkway, Kissimmee, FL 34741 4077021011

Other Providers KENNETH ANDERSON

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

Office Location

Street Address 4372 COMMERCIAL WAY
City SPRING HILL
State FL
Zip Code 34606-1965

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 1223S0112X
Grouping Dental Providers
Classification Dentist
Specialization Oral and Maxillofacial Surgery

Taxonomy Definition

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

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City SPRING HILL
Zip Code 34606

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Dataset Information

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.

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