Lighthouse Dental Studio PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

LIGHTHOUSE DENTAL STUDIO PLLC

Practice address

206 Ashourian Ave Unit 217-218
St Augustine, FL 32092-5108

Phone

(407) 961-2821

NPI assigned

Sep 8, 2025

Last updated

Sep 8, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Ryan Colaianni, DMDNPI 1679203764

Title

Owner/Dentist

Phone

(407) 961-2821

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ryan Colaianni, DMD

  • Dentist
  • Jacksonville Beach, FL
  • NPI 1679203764
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1757289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757289600000",
    "number": "1659251882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 ASHOURIAN AVE UNIT 217-218",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320925108",
            "telephone_number": "407-961-2821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 ASHOURIAN AVE UNIT 217-218",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320925108",
            "telephone_number": "407-961-2821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE DENTAL STUDIO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-08",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-07",
        "status": "A",
        "authorized_official_last_name": "COLAIANNI",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "407-961-2821",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rosemarie L. Lim, M.D.

• Dental Clinic/Center in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Dental Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.