LIGHTHOUSE DENTAL STUDIO PLLC
NPI 1659251882
Clinic/Center - Dental in St Augustine, FL
Active since September 08, 2025
About Lighthouse Dental Studio Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LIGHTHOUSE DENTAL STUDIO PLLC (NPI 1659251882) is a healthcare organization registered as a dental in St Augustine, Florida and active in the NPI registry since September 2025. The organization lists Ryan Colaianni, Owner/dentist, as its authorized official.
NPPES Registry Identity
NPI1659251882
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameLIGHTHOUSE DENTAL STUDIO PLLC
Location Address206 ASHOURIAN AVE UNIT 217-218St Augustine, FL 32092-5108
Mailing Address206 Ashourian Ave Unit 217-218St Augustine, FL 32092-5108 · (407) 961-2821
Phone(407) 961-2821
Organization SubpartNo
Authorized OfficialRyan ColaianniOwner/dentist · (407) 961-2821
Enumeration DateSeptember 8, 2025
NPPES CertifiedSeptember 7, 2025
✔ NPI 1659251882 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
206 ASHOURIAN AVE UNIT 217-218, St Augustine, FL 32092
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1659251882, enumerated as an "organization" on September 08, 2025.
The provider is located at 206 ASHOURIAN AVE UNIT 217-218 ST AUGUSTINE, FL 32092 and the phone number is (407) 961-2821.
Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.
