Lighthouse Dental is a Dentist in Plymouth, Indiana. Lighthouse Dental practices all healthcare services and medical treatments related to Dentist. The NPI Number for Lighthouse Dental is 1861410318. The last update date is 2007-11-20.
Lighthouse Dental's current location address is 556 N Oak Rd, Plymouth, Indiana. You can contact this provider via phone number 5749363921 and fax number 5749361010. The mailing address for Lighthouse Dental is 556 N Oak Rd, Plymouth, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lighthouse Dental |
|---|---|
| Address | 556 N Oak Rd, Plymouth, Indiana |
| Phone Number | 5749363921 |
| Fax Number | 5749361010 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Becker F Bruce |
| Credentials | DDS |
| Telephone Number | 5749363921 |
NPI Number Detail
| NPI Number | 1861410318 |
|---|---|
| Provider Enumeration Date | 2006-07-17 |
| Last Updated Date | 2007-11-20 |
Provider Mailing Address Detail
| Address | 556 N Oak Rd |
|---|---|
| City | Plymouth |
| State | Indiana (IN) |
| Post Code | 465631664 |
| Phone Number | 5749363921 |
| Fax Number | 5749361010 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 12009200 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique 10-digit identification code issued to Lighthouse Dental by the Centers for Medicare & Medicaid Services?
The Lighthouse Dental has been assigned the NPI (National Provider Identifier) 1861410318 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Lighthouse Dental is physically located?
The Lighthouse Dental is situated at the following address: 556 N Oak Rd, Plymouth, IN 465631664.
What is the area of specialization for Lighthouse Dental, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Lighthouse Dental is Dentist, and the corresponding taxonomy code that categorizes this area of expertise is 122300000X.
On what date did Lighthouse Dental receive its 1861410318 assignment from the Centers for Medicare & Medicaid Services?
The Lighthouse Dental was assigned its 1861410318 on 2006-07-17, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Lighthouse Dental most recently updated or refreshed?
The details pertaining to the Lighthouse Dental, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-11-20.
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