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Lighthouse Dental 63090
General Practice Dentistry in Washington, Missouri
NPI 1801523592

Lighthouse Dental 63090 is a General Practice Dentistry based in Washington, MO and is specialized in General Practice. Lighthouse Dental 63090 practices in Washington, MO. The NPI Number for Lighthouse Dental 63090 is 1801523592 and holds a License No. (Missouri).

The current practice location address for Lighthouse Dental 63090 is 560 E 14Th St, Washington, MO and can be reached out via phone at 636-390-9991.

Location: 560 E 14Th St, Washington, MO, 63090-4535
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1801523592
Provider Name
Lighthouse Dental 63090
Credential
Provider Entity Type
Organization
Address
560 E 14Th St, Washington, MO, 63090-4535
Phone Number
636-390-9991
Fax Number
Provider Enumeration Date
08/03/2022
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1578977104 01 MO BRITTANY BOCKHORST
1770564858 01 MO MELISSA ZYK
institution
Provider Business Practice Location Address Details
Address
560 E 14Th St
City
Washington
State
Missouri
Zip
63090-4535
Phone Number
636-390-9991
Fax Number
person
Provider Business Mailing Address Details
Address
560 E 14Th St
City
Washington
State
Missouri
Zip
63090-4535
Phone Number
636-390-9991
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
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Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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