Kla Implants & Oral Surgery Center, PLLC

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

Legal business name

KLA IMPLANTS & ORAL SURGERY CENTER, PLLC

Practice address

970 Windermere Road, Building 11
Winter Garden, FL 34787

Phone

(312) 402-3250

NPI assigned

Dec 4, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kenneth L Anderson III, DDSNPI 1023230539

Title

Ceo, Oral Surgeon

Phone

(312) 402-3250

Specialties & licenses 1

Addresses

Other names 1

• Winter Garden Implants & Oral Surgery Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kenneth Leroy Anderson III, D.D.S.

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Spring Hill, FL
  • NPI 1023230539
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1733270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733270400000",
    "number": "1003622150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 WINDERMERE ROAD, BUILDING 11",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "34787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 WINDERMERE ROAD, BUILDING 11",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "34787",
            "telephone_number": "312-402-3250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLA IMPLANTS & ORAL SURGERY CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-04",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-01",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO, ORAL SURGEON",
        "authorized_official_telephone_number": "312-402-3250",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Winter Garden Implants & Oral Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• King Interpreting Services LLC
• King Premier Care Service, LLC
• Kristin King, DPT
• Lynn D. Kinney, LCSW
• Chelsea Kirton
• Kristine Klein
• Robin Leanne Knight, COTA
• Tiffany Knightly, DNP, APRN, FNP-BC
• Elizabeth Ann Knowlton, LCSW
• Daniel William Komforti, PT, DPT

• Oral & Maxillofacial Surgery (D.M.D.) in Winter Garden, FL
• Providers in Winter Garden, FL by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.