Lighthouse Dental Llc

LBN: Lighthouse Dental Llc
Lighthouse Dental Llc is an health care organization with primary practice located at 10803A E 350 Hwy , Raytown MO 64138. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Lighthouse Dental Llc can be contacted via phone (816) 356-2476, or through Ferguson, Jack E via phone (816) 356-2476.

Contact Information

Primary practice address
10803A E 350 Hwy Raytown MO 64138
Phone: (816) 356-2476
Fax: (816) 353-1430
Website:
Map and Directions
Authorized official contact:
Name: Ferguson, Jack E Doctor of Dental Surgery (DDS)
Phone: (816) 356-2476

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1710045224
LBN Legal business name Lighthouse Dental Llc
DBA Doing business as
Authorized official Ferguson, Jack E Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 5th, 2006
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710045224 NPPES
Missouri Other 09718037 BCBS
Missouri Other 33345021 BCBS

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