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DR. KENNETH LEROY ANDERSON III D.D.S.
NPI 1023230539
Oral & Maxillofacial Surgery in Spring Hill, FL

Active since May 03, 2007Opted out of Medicare · through Jun 14, 2027
4372 COMMERCIAL WAY, SPRING HILL, FL 34606(352) 596-6804 Get Directions Write a Review

NPPES record last updated: December 15, 2024. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Dec 15, 2024, Jul 21, 2022, Mar 17, 2018 and 2 more (5 updates tracked since 2017).

About Dr. Kenneth Leroy Anderson Iii D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KENNETH LEROY ANDERSON III D.D.S. (NPI 1023230539) is an individual oral & maxillofacial surgery provider in Spring Hill, Florida, licensed in Florida (DN22380) and active in the NPI registry since May 2007. He has opted out of Medicare through June 14, 2027 and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1023230539
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameDR. KENNETH LEROY ANDERSON IIICredential: D.D.S.
Location Address4372 COMMERCIAL WAYSpring Hill, FL 34606-1965
Mailing Address7520 Excitement DrReunion, FL 34747-6748 · (312) 402-3250
Phone(352) 596-6804
Sole ProprietorNo
Enumeration DateMay 3, 2007
Last NPPES UpdateDecember 15, 20245 updates tracked since enumeration
NPPES CertifiedDecember 15, 2024
✔ NPI 1023230539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
License✔ Licensed in FL · DN22380
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X · License DN 22380 (FL), D12714 (MN)
4372 COMMERCIAL WAY, Spring Hill, FL 34606
Open in Google Maps ↗

Secondary Practice Locations 2

Location 18845 Hawbuck StTrinity, FL 34655-5361 · Phone (727) 375-0469
Location 2745 W Osceola ParkwayKissimmee, FL 34741 · Phone (407) 702-1011

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Kenneth Leroy Anderson Iii D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 14, 2017 through June 14, 2027.

Opt-Out Effective DateJune 14, 2017
Opt-Out In Effect ThroughJune 14, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHAEL A. PIKOS D.D.S., P.A.
Dentist (Oral and Maxillofacial Surgery)
4372 COMMERCIAL WAY
SPRING HILL, FL 34606
Hernando County (352) 596-6804

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Anderson's NPI number?

The NPI number for Kenneth Anderson is 1023230539. It was assigned to this individual provider in the NPPES registry on May 3, 2007.

Where is Kenneth Anderson located?

Kenneth Anderson practices at 4372 Commercial Way, Spring Hill, FL 34606. The listed phone number is (352) 596-6804.

What is Kenneth Anderson's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Kenneth Anderson enrolled in Medicare?

No. Kenneth Anderson has opted out of Medicare through June 14, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Kenneth Anderson accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Delta Dental and Dominion National and 5 other insurers list Kenneth Anderson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kenneth Anderson was last updated on December 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.