Steven Andrew Anderson, D.M.D.
Individual provider Active NPI Oral & Maxillofacial Surgery (D.M.D.) · London, KY
NPI 1861599201 · NPPES record last updated Sep 11, 2025
Key facts
- NPI
- 1861599201
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.) 204E00000X
- License
- 6656 (KY)
- Practice address
- 1675 South Main Street
Laurel Medical Center, Lower Level
London, KY 40741 - Phone
- (606) 878-6126
- Fax
- (606) 878-0840
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
- Opted out of Medicare
- Yes, effective Apr 1, 2015 through Apr 1, 2027
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeast Oral and Maxillofacial Surgery Associates | Oral and Maxillofacial Surgery | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 6656 | KY | |
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | 6656 | KY | Yes |
Addresses
Primary practice location
1675 South Main Street
Laurel Medical Center, Lower Level
London, KY 40741
Mailing address
1675 South Main Street
Laurel Medical Center, Lower Level
London, KY 40741
Phone (606) 878-6126
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12# 0000000 50768 | Other | KY | BCBS |
| 60066560 | Medicaid | KY | |
| E604 | Other | KY | ANTHEM BCBS PROVIDER # |
| 64066566 | Medicaid | KY |
Other providers in London, KY
- American Rehab Allianace, Inc
- Amy D Henson OD PLLC
- Anand PSC
- Ashwini Anand
- Anderson Oral and Maxillofacial Surgery, P.S.C
- Tamara Andrews
- Dylan James Angiolillo
- Apria Healthcare, Inc.
- Arif H. Khan, MD., PLLC
- Arrow Dental PLLC
All providers in London, KY · Oral & Maxillofacial Surgery (D.M.D.) in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.