Lighthouse Dental Group

LBN: Lighthouse Dental Group
Lighthouse Dental Group is an health care organization with primary practice located at 1177 N Eagle Rd , Eagle ID 83616. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Lighthouse Dental Group can be contacted via phone (208) 939-3010, or through Higginson, Michael Lynn via phone (208) 939-3010.

Contact Information

Primary practice address
1177 N Eagle Rd Eagle ID 83616
Phone: (208) 939-3010
Fax: (208) 939-3027
Website:
Map and Directions
Authorized official contact:
Name: Higginson, Michael Lynn Doctor of Dental Surgery (DDS)
Phone: (208) 939-3010

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X D3380 Idaho
Dental Providers / Dentist 122300000X DRUG ID #BH6399857 Idaho
Dental Providers / Dentist 122300000X D3878 Idaho
Dental Providers / Dentist 122300000X DRUG ID #BJ9304623 Idaho

Profile Details

NPI number 1174631287
LBN Legal business name Lighthouse Dental Group
DBA Doing business as
Authorized official Higginson, Michael Lynn Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 28th, 2006
Last updated Jan 12th, 2010 - about 16 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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