Dr. Kenneth Leroy Anderson III
Oral and Maxillofacial Surgeon
4372 Commercial Way
Spring Hill
, Florida 34606-1965
Dr. Kenneth Leroy Anderson III
Oral and Maxillofacial Surgeon
4372 Commercial Way
Spring Hill
, Florida 34606-1965
(312) 402-3250
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Dr. Kenneth Leroy Anderson III
- 7520 Excitement Dr
- Reunion, FL
- Zip : 34747-6748
- Phone : (312) 402-3250
Second Address
- Dr. Kenneth Leroy Anderson III
- 4372 Commercial Way
- Spring Hill, FL
- Zip : 34606-1965
- Phone : (352) 596-6804
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 1223S0112X | Oral and Maxillofacial Surgeon | D12714 | MN |
| Y | 1223S0112X | Oral and Maxillofacial Surgeon | DN 22380 | FL |
National Provider Identifier
| NPI | 1023230539 |
|---|---|
| Provider Name | Dr. Kenneth Leroy Anderson III |
| First Address | Reunion, FL 34747-6748 |
| Second Address | Spring Hill, FL 34606-1965 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/05/2007 |
| Last Update Date | 17/03/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.