ANDERSON ORAL AND MAXILLOFACIAL SURGERY, P.S.C; NPI #1528331642

Contact Information

ANDERSON ORAL AND MAXILLOFACIAL SURGERY, P.S.C

1675 S MAIN ST
LAUREL MEDICAL CENTER, LOWER LEVEL
LONDON, KY 40741-2050

Phone: 606-878-6126
Fax: 606-878-0840
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Oral and Maxillofacial Surgery	261QS0112X

Indicates primary specialty

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

NPI # 1528331642

LBN Legal business name ANDERSON ORAL AND MAXILLOFACIAL SURGERY, P.S.C

Authorized official STEVEN ANDERSON - (ORAL AND MAXILLOFACIAL SURGEON)

Entity Organization

Organization subpart ¹ No

Enumeration date 02/21/2012

Last updated 02/21/2012 - About 14 years ago

Identifiers

KY	License #	6656
KY	Medicaid	64066566

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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ANDERSON ORAL AND MAXILLOFACIAL SURGERY, P.S.C

Contact Information

Specialty

Oral and Maxillofacial Surgery

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

Reviews for ANDERSON ORAL AND MAXILLOFACIAL SURGERY, P.S.C