National Provider Identifier Database

ANDERSON ORAL AND MAXILLOFACIAL SURGERY PSC
Oral and Maxillofacial Surgery

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.


Contact Information

ANDERSON ORAL AND MAXILLOFACIAL SURGERY, P.S.C
1675 S MAIN ST
LAUREL MEDICAL CENTER, LOWER LEVEL
LONDON, KY40741-2050
Phone: 606-878-6126
Fax: 606-878-0840
Website:
Specialty Taxonomy Code
* Oral and Maxillofacial Surgery 261QS0112X

* Indicates primary specialty

NPI Profile & details for ANDERSON ORAL AND MAXILLOFACIAL SURGERY, P.S.C

NPI Number 1528331642
Legal business name
LBN
ANDERSON ORAL AND MAXILLOFACIAL SURGERY, P.S.C
Authorized official STEVEN ANDERSON - (ORAL AND MAXILLOFACIAL SURGEON)
Entity Organization
Organization subpart No
Enumeration date 02/21/2012
Last updated 02/21/2012 - About 14 years ago
Sole proprietor1 Not specified
Identifiers
  • KY License #: 6656
  • KY Medicaid: 64066566

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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