Individual
DR. STEVEN ANDREW ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1675 SOUTH MAIN STREET, LAUREL MEDICAL CENTER, LOWER LEVEL, LONDON, KY 40741
(606) 878-6126
(606) 878-0840
Mailing address
1675 SOUTH MAIN STREET, LAUREL MEDICAL CENTER, LOWER LEVEL, LONDON, KY 40741
(606) 878-6126
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
6656
KY
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
6656
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12# 0000000 50768
BCBS
KY
05
—
60066560
—
KY
05
—
64066566
—
KY
01
—
E604
ANTHEM BCBS PROVIDER #
KY
Enumeration date
09/20/2006
Last updated
09/11/2025
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