Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LIGHTHOUSE DENTAL GROUP
Active OrganizationLIGHTHOUSE DENTAL GROUP is a Dentist organization located in EAGLE, Idaho. NPI 1174631287 is currently active in the NPPES registry. Verify at CMS.
Dentist · EAGLE, ID
Registration Details
- NPI Number
- 1174631287
- Provider Type
- Organization
- NPI Issued
- Aug 28, 2006 (19.99551097492 yrs)
- Last Updated
- Jan 12, 2010
- Licenses
-
DRUG ID #BH6399857 (ID)D3878 (ID)DRUG ID #BJ9304623 (ID)D3380 (ID)
Practice Information
- Address
-
1177 N EAGLE RDEAGLE, ID, 83616Browse ID providers · Browse ZIP 83616
- Phone
- 2089393010
- Fax
- 2089393027
- Primary Specialty
-
Dentist
122300000X
- Additional Specialty
- Dentist
- Additional Specialty
- Dentist
- Additional Specialty
- Dentist
Other Dentist Organizations in EAGLE, ID
| Name | NPI |
|---|---|
| EVAN HATHAWAY DDS PA | 1851552194 |
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.