Individual
DR. KENNETH LEROY ANDERSON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4372 COMMERCIAL WAY, SPRING HILL, FL 34606-1965
(352) 596-6804
Mailing address
7520 EXCITEMENT DR, REUNION, FL 34747-6748
(312) 402-3250
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
D12714
MN
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DN 22380
FL
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
DN22380
FL
Other
Enumeration date
05/03/2007
Last updated
12/15/2024
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