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LIGHTHOUSE DENTAL 63090
NPI 1801523592
Dentist - General Practice in Washington, MO

Active since August 03, 2022
560 E 14TH ST, WASHINGTON, MO 63090(636) 390-9991 Get Directions Write a Review

NPPES record last updated: August 3, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lighthouse Dental 63090 NPPES

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

LIGHTHOUSE DENTAL 63090 (NPI 1801523592) is a healthcare organization registered as a general practice in Washington, Missouri and active in the NPI registry since August 2022. The organization lists Melissa K Zyk, Owner, as its authorized official.

NPPES Registry Identity

NPI1801523592
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameLIGHTHOUSE DENTAL 63090
Location Address560 E 14TH STWashington, MO 63090-4535
Mailing Address560 E 14th StWashington, MO 63090-4535 · (636) 390-9991
Phone(636) 390-9991
Organization SubpartNo
Authorized OfficialMelissa K ZykOwner · (636) 390-9991
Enumeration DateAugust 3, 2022
NPPES CertifiedAugust 3, 2022
✔ NPI 1801523592 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.
560 E 14TH ST, Washington, MO 63090
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Other Identifiers 2

Other1578977104MO · Brittany Bockhorst
Other1770564858MO · Melissa Zyk

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

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MZ TMD AND ZZZ LLC
Dentist (General Practice)
560 E 14TH ST
WASHINGTON, MO 63090
Franklin County (636) 390-9991
DR. MELISSA K ZYK D.D.S.
Dentist (General Practice)
560 E 14TH ST
WASHINGTON, MO 63090
Franklin County (636) 390-9991

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 63090's NPI number?

The NPI number for Lighthouse Dental 63090 is 1801523592. It was assigned to this organization in the NPPES registry on August 3, 2022.

Where is Lighthouse Dental 63090 located?

Lighthouse Dental 63090 is located at 560 E 14th St, Washington, MO 63090. The listed phone number is (636) 390-9991.

What is Lighthouse Dental 63090'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 63090 was last updated on August 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.