LIGHTHOUSE DENTAL STUDIO PLLC NPI 1659251882

NPI Information

  • NPI: 1659251882
  • Provider Name: LIGHTHOUSE DENTAL STUDIO PLLC
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Address: 206 ASHOURIAN AVE UNIT 217-218
    ST AUGUSTINE, FL
    ZIP 32092
  • Phone: (407) 961-2821

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NPI Details

LIGHTHOUSE DENTAL STUDIO PLLC is a dental clinic center in St Augustine, FL. LIGHTHOUSE DENTAL STUDIO PLLC NPI is 1659251882. The provider is registered as an organization entity type.

The provider's business location address is:

206 ASHOURIAN AVE UNIT 217-218
ST AUGUSTINE, FL
ZIP 32092-108
Phone: (407) 961-2821

The provider's authorized official is Ryan Colaianni .
The authorized official title is Owner/dentist and has the following contact phone number (407) 961-2821.

The enumeration date for this NPI number is 9/8/2025 and was last updated on 9/8/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD0000XClinic/CenterDentalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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