Active NPI
William Hart Anderson III, DDS
- Oral and Maxillofacial Surgery (Dentist)
- Great Lakes, IL
National Provider Identifier
1780657221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 20084
- Practice address
- 3001 6TH St
Naval Hospital, Dental Directorate
Great Lakes, IL 60088-2833 - Phone
- (184) 768-8242
- Fax
- (184) 768-8440
- NPI assigned
- Feb 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 20084 | CA | Primary |
Addresses
Primary practice location
3001 6TH St
Naval Hospital, Dental Directorate
Great Lakes, IL 60088-2833
Mailing address
135 W Newbridge LN
Round Lake, IL 60073-5645
Phone (184) 768-8242
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1780657221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "135 W NEWBRIDGE LN",
"city": "ROUND LAKE",
"state": "IL",
"postal_code": "600735645",
"telephone_number": "184-768-8242",
"fax_number": "184-768-8440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3001 6TH ST",
"address_2": "NAVAL HOSPITAL, DENTAL DIRECTORATE",
"city": "GREAT LAKES",
"state": "IL",
"postal_code": "600882833",
"telephone_number": "184-768-8242",
"fax_number": "184-768-8440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "WILLIAM",
"middle_name": "HART",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-07",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "CA",
"license": "20084",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Great Lakes, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.