WILLIAM R ANDERSON DMD PSC (NPI# 1295861524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295861524 |
| Entity Type | Organization |
| Organization Name | WILLIAM R ANDERSON DMD PSC |
| Practice Address |
972 Broadway Plaza Paintsville KY 41240 |
| Practice Telephone | 6067891912 |
| Practice Fax Number | 6067891939 |
| Mailing Telephone | 6067891912 |
| Mailing Fax Number | 6067891939 |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2008-03-12 |
| Authorized Official Name | MR. WILLIAM R ANDERSON (PRESIDENT) |
| Authorized Official Telephone | 6067891912 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204E00000X | Oral & Maxillofacial Surgery | 5386 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 64053861 | 05 | |
| KY | 60053865 | 05 |
| Street Address |
972 BROADWAY PLAZA |
| City | PAINTSVILLE |
| State | KY |
| Zip Code | 41240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407337579 | Angela Suzanne Fitch | Nurse Practitioner | 604 James S. Trimble Blvd, Suite 2, Paintsville, KY 41240 | 2018-08-27 |
| 1013446764 | Jimmy Woodrow Arnett | Counselor | 1032 Broadway St, Paintsville, KY 41240 | 2017-06-07 |
| 1073982914 | Heather Dawn Eperson | Nurse Practitioner | 604 James S Trimble Blvd, Suite 1, Paintsville, KY 41240 | 2015-09-22 |
| 1568808640 | Bhg Xxiv, LLC | Case Management | 628 Jefferson Avenue, Paintsville, KY 41240 | 2013-05-16 |
| 1275882375 | Carol Booth | Speech-Language Pathologist | 1025 Euclid Avenue, Paintsville, KY 41240 | 2012-09-05 |
| 1467601898 | Johnson County Health Dept | Public Health or Welfare | 649 Us Hwy 23 South, Staffordsville, KY 41240 | 2008-09-10 |
| 1033367560 | Johnson County Health Dept | Public Health or Welfare | 257 North Mayo Trail, Paintsville, KY 41240 | 2008-09-09 |
| 1770730038 | Johnson County Health Dept | Public Health or Welfare | 1715 Euclid Ave., Paintsville, KY 41240 | 2008-08-19 |
| 1720234958 | Johnson County Health Dept | Public Health or Welfare | 251 North Mayo Trail, Paintsville, KY 41240 | 2008-08-07 |
| 1689795619 | Crigger Mullins Speech Therapy Services Psc | Speech-Language Pathologist | 512 Elm St, Paintsville, KY 41240 | 2007-04-03 |
| Find all providers in zip 41240 | ||||
| Taxonomy Code | 204E00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Oral & Maxillofacial Surgery |
| Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. |
| Notes: Source: American College of Surgeons, 2013. www.facs.org [7/1/2013: definition added, source added, additional resources added] Additional Resources: American Board of Oral and Maxillofacial Surgery and American Association of Oral and Maxillofacial Surgeons While this is generally considered a specialty of dentistry, physicians can also be board certified as oral and maxillofacial surgeons through the American Board of Oral and Maxillofacial Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457847691 | Kentucky Center for Oral & Maxillofacial Surgery Psc | Oral & Maxillofacial Surgery | 2424 Sir Barton Way Ste 375, Lexington, KY 40509-2521 | 2018-07-10 |
| 1750552733 | Romeo N. Laureano, D.m.d., P.s.c. | Oral & Maxillofacial Surgery | 120 W Stephen Foster Ave Ste 107, Bardstown, KY 40004-1457 | 2008-03-18 |
| 1831225465 | Jackson Ent Clinic, Psc | Oral & Maxillofacial Surgery | 1550 Highway 15 S Ste 29, Jackson, KY 41339-9221 | 2007-02-26 |
| 1427145366 | C Michael Brinker | Oral & Maxillofacial Surgery | 8172 Mall Road, Suite 214, Florence, KY 41042 | 2006-10-10 |
| 1629081385 | Tariq A Sartawi | Oral & Maxillofacial Surgery | 1550 Hwy 15 South, Suite #29, Jackson, KY 41339-0768 | 2006-08-14 |
| 1801892047 | David L Wells II | Oral & Maxillofacial Surgery | 2250 Leestown Rd, Veterans Affairs Medical Center-ld Dept of Admin Med, Lexington, KY 40511 | 2005-06-22 |
| 1922480250 | Commonwealth Oral and Maxillofacial Surgery, Psc | Oral & Maxillofacial Surgery | 6520 Glenridge Park Pl, Suite 7, Louisville, KY 40222-3455 | 2015-06-23 |
| 1285942649 | Erena & Peterson, Pllc | Oral & Maxillofacial Surgery | 620 Perimeter Dr, Suite 100, Lexington, KY 40517-4125 | 2010-09-20 |
| 1760706675 | Edyee M Sturgill, Dmd, Md | Oral & Maxillofacial Surgery | 895 Wilkinson Trce Ste B, Bowling Green, KY 42103-2486 | 2010-03-22 |
| 1912133620 | The Implant and Oral Surgery Center, LLC | Oral & Maxillofacial Surgery | 204 Bevins Ln, Suite F, Georgetown, KY 40324-6139 | 2009-06-09 |
| Find all providers with the same taxonomy | ||||
| City | PAINTSVILLE |
| Zip Code | 41240 |
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| 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.