LIGHTHOUSE DENTAL 63090 NPI 1801523592

NPI Information

  • NPI: 1801523592
  • Provider Name: LIGHTHOUSE DENTAL 63090
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 560 E 14TH ST
    WASHINGTON, MO
    ZIP 63090
  • Phone: (636) 390-9991

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NPI Details

LIGHTHOUSE DENTAL 63090 is a general practice dentist in Washington, MO. The provider is 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. LIGHTHOUSE DENTAL 63090 NPI is 1801523592. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

560 E 14TH ST
WASHINGTON, MO
ZIP 63090-535
Phone: (636) 390-9991

The provider's authorized official is Melissa K Zyk .
The authorized official title is Owner and has the following contact phone number (636) 390-9991.

The enumeration date for this NPI number is 8/3/2022 and was last updated on 8/3/2022.

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
11223G0001XDentistGeneral PracticeYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11578977104OTHERMISSOURIBRITTANY BOCKHORST
21770564858OTHERMISSOURIMELISSA ZYK

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

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