DR. KENNETH R ANDERSON JR. (NPI# 1992003370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992003370 |
| Entity Type | Individual |
| Full Name | DR. KENNETH R ANDERSON JR. |
| Credential | D.D.S |
| Practice Address |
810 S Waukegan Rd Lake Forest IL 60045-2693 |
| Practice Telephone | 8472950515 |
| Mailing Telephone | 8472950515 |
| Enumeration Date | 2011-03-08 |
| Last Update Date | 2011-03-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 019019692 | IL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023279080 | Kenneth M Anderson | Physical Therapist | 823 Kennedy St Ne, Washington, DC 20011 | 2008-06-23 |
| 1063683233 | Kenneth Lee Anderson | Dental Hygienist | 111 Muldoon Rd Apt 5, Anchorage, AK 99504-1435 | 2008-03-17 |
| 1154469690 | Kenneth William Anderson | Optometrist | 8048 San Miguel Canyon Rd, Salinas, CA 93907-1208 | 2007-02-04 |
| 1659434108 | Kenneth W Anderson IIi | Family Medicine | 14451 Morningside Rd, Orland Park, IL 60462-7413 | 2006-12-18 |
| 1528075793 | Kenneth Albert Anderson | Anesthesiology | 6605 Abercorn St Ste 108, Savannah, GA 31405-5896 | 2006-08-01 |
| 1215951611 | Kenneth David Anderson | Dentist | 204 Mcfarland Cir N, Tuscaloosa, AL 35406-1800 | 2006-07-27 |
| 1437172533 | Kenneth L. Anderson IIi | Family Medicine | 1945 Garnet Ave, San Diego, CA 92109-3595 | 2006-07-26 |
| 1467483867 | Kenneth Robert Anderson | Family Medicine | 15701 State Road 50suite 101, Suite 101, Clermont, FL 34711 | 2006-07-05 |
| 1073569224 | Kenneth Allen Anderson | Physician Assistant | 1321 N Center St, Hickory, NC 28601-2535 | 2006-05-26 |
| 1508825860 | Kenneth Robert Anderson | Dentist | 132 N West St, Wichita, KS 67203 | 2006-03-23 |
| Street Address |
810 S WAUKEGAN RD |
| City | LAKE FOREST |
| State | IL |
| Zip Code | 60045-2693 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548408438 | Forest Orthodontics and Pediatric Dentistry | Dentist | 810 S Waukegan Rd, Suite 101, Lake Forest, IL 60045 | 2009-01-30 |
| 1295268233 | Rosemary Santoro | Dentist | 810 S Waukegan Rd, Suite 106, Lake Forest, IL 60045-2693 | 2017-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851931109 | Spine & Wellness Clinic, Inc. | Chiropractor | 775 N Bank Lane Suite 101, Lake Forest, IL 60045 | 2020-01-14 |
| 1184278640 | Mary Belluomini Dipietro | Dietitian, Registered | 1000 North Westmoreland Rd., Lake Forest, IL 60045 | 2019-08-01 |
| 1336621747 | Brook Elizabeth Orvis | Physical Therapist | 1000 N Westmoreland Road, 2nd Floor, Pavilion B, Lake Forest, IL 60045 | 2018-08-31 |
| 1336621028 | Michelle Nebel | Audiologist | 225 East Deerpath, Suite 223, Lake Forest, IL 60045 | 2018-08-30 |
| 1467951731 | Devan Keesling | Audiologist | 800 N Westmoreland Rd Ste Ll30, Lake Forest, IL 60045 | 2018-02-01 |
| 1023516796 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1000 N Westmoreland Rd Ste A, Lake Forest, IL 60045 | 2018-01-29 |
| 1275056780 | Karen Elizabeth Cohen | Counselor | 1331 S. Estate Lane, Lake Forest, IL 60045 | 2017-07-18 |
| 1497281711 | Caroline Connors | Speech-Language Pathologist | 660 Westmoreland Road, Lake Forest, IL 60045 | 2017-05-05 |
| 1013453406 | Katie L Konopacz | Nurse Practitioner | 1000 N Westmoreland Rd # B, Lake Forest, IL 60045 | 2017-01-10 |
| 1225424575 | Sean Robert Wessel | Internal Medicine | 1000 N Westmoreland Rd Ste 3556, Lake Forest, IL 60045 | 2015-04-14 |
| Find all providers in zip 60045 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285190579 | Sean Wang | Dentist | 222 Finch, Lake Forest, CA 92630-1436 | 2019-02-12 |
| 1568935351 | S Abadi Dental Corporation | Dentist | 24602 Raymond Way Ste 211, Lake Forest, CA 92630-8420 | 2019-01-04 |
| 1811497167 | Sofia Rodriguez Dds, Inc. | Dentist | 22942 Ridge Route Dr Ste 103, Lake Forest, CA 92630-3693 | 2018-02-13 |
| 1639601578 | Eliza Berris | Dentist | 22111 Timberline Way, Lake Forest, CA 92630-3431 | 2017-03-30 |
| 1316495112 | Elizabeth Ga Yeun Kim | Dentist | 22611 Lake Forest Dr Ste C5, Lake Forest, CA 92630 | 2016-09-21 |
| 1396198636 | Mariam Soldin-wasfi | Dentist | 24261 Grass St, Lake Forest, CA 92630-5243 | 2016-07-22 |
| 1093107377 | Dr Afzalis Lake Forest Lifetime Dental Group PC | Dentist | 23731 El Toro Rd Ste D, Lake Forest, CA 92630-8615 | 2015-02-24 |
| 1003212333 | Ramin Khoshsar | Dentist | 26501 Rancho Pkwy S, Suite 202, Lake Forest, CA 92630-8358 | 2014-11-13 |
| 1043627037 | Michael Gilbert | Dentist | 225 E Deerpath Ste 290, Lake Forest, IL 60045-1973 | 2014-07-22 |
| 1316372238 | Jeffrey Chiung-neng Huang | Dentist | 22373 El Toro Rd, Lake Forest, CA 92630-5053 | 2013-09-10 |
| Find all providers in LAKE FOREST | ||||
| City | LAKE FOREST |
| Zip Code | 60045 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.