KLA IMPLANTS & ORAL SURGERY CENTER PLLC NPI 1003622150

NPI Information

  • NPI: 1003622150
  • Provider Name: KLA IMPLANTS & ORAL SURGERY CENTER, PLLC
  • Classification: Oral & Maxillofacial Surgery - 204E00000X
  • Entity Type: Organization
  • Address: 970 WINDERMERE ROAD, BUILDING 11
    WINTER GARDEN, FL
    ZIP 34787
  • Phone: (312) 402-3250

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NPI Details

KLA IMPLANTS & ORAL SURGERY CENTER, PLLC is an oral maxillofacial surgery in Winter Garden, FL. The provider is 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. KLA IMPLANTS & ORAL SURGERY CENTER, PLLC NPI is 1003622150. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

970 WINDERMERE ROAD, BUILDING 11
WINTER GARDEN, FL
ZIP 34787
Phone: (312) 402-3250

The provider's authorized official is Kenneth L Anderson .
The authorized official title is Ceo, Oral Surgeon and has the following contact phone number (312) 402-3250.

The enumeration date for this NPI number is 12/4/2024 and was last updated on 12/4/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1204E00000XOral & Maxillofacial SurgeryYes

What is NPI?

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This page was last updated on: 11/21/2025

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