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LIGHTHOUSE DENTAL LLC
NPI 1710045224
Dentist - General Practice in Raytown, MO

Active since December 05, 2006
10803A E 350 HWY, RAYTOWN, MO 64138(816) 356-2476(816) 353-1430 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lighthouse Dental Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIGHTHOUSE DENTAL LLC (NPI 1710045224) is a healthcare organization registered as a general practice in Raytown, Missouri and active in the NPI registry since December 2006. The organization lists Jack E Ferguson, Co Owner Dentist, as its authorized official.

NPPES Registry Identity

NPI1710045224
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameLIGHTHOUSE DENTAL LLC
Location Address10803A E 350 HWYRaytown, MO 64138
Mailing Address10803a E 350 HwyRaytown, MO 64138 · (816) 356-2476 · Fax (816) 353-1430
Phone(816) 356-2476
Fax(816) 353-1430
Organization SubpartNo
Authorized OfficialJack E FergusonCo Owner Dentist · (816) 356-2476
Enumeration DateDecember 5, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1710045224 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
10803A E 350 HWY, Raytown, MO 64138
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Other Identifiers 2

Other09718037MO · Bcbs
Other33345021MO · Bcbs

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lighthouse Dental LLC's NPI number?

The NPI number for Lighthouse Dental LLC is 1710045224. It was assigned to this organization in the NPPES registry on December 5, 2006.

Where is Lighthouse Dental LLC located?

Lighthouse Dental LLC is located at 10803A E 350 Hwy, Raytown, MO 64138. The listed phone number is (816) 356-2476.

What is Lighthouse Dental LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Lighthouse Dental LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.