Lighthouse Family Dentistry
Organization Active NPI General Practice Dentistry · Eads, TN
NPI 1881982122 · NPPES record last updated Jul 20, 2011
Key facts
- NPI
- 1881982122
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 8582 (TN)
- Legal business name
- LIGHTHOUSE FAMILY DENTISTRY
- Practice address
- 3159 Highway 64 Ste 100
Eads, TN 38028-3322 - Phone
- (901) 465-2382
- NPI assigned
- Jul 20, 2011
- Organization subpart
- No
Authorized official
- Name
- Dr. Marilyn Liz Phillips, D.D.S
- Title
- Owner
- Phone
- (901) 465-2382
Practitioners 4
-
Paige Gassmann, DMD
-
Lyndsey Zito, DDS
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | 8582 | TN | Yes |
Addresses
Primary practice location
3159 Highway 64 Ste 100
Eads, TN 38028-3322
Mailing address
3159 Highway 64 Ste 100
Eads, TN 38028-3322
Phone (901) 465-2382
Other providers in Eads, TN
- Insight Behavioral Health Services, PLLC
- Peter Suchol Jang
- Patricia Rena Jones-Purdy
- Emily Kautzman
- Diane Marie Lafferty
- M-Power, Inc.
- Malinda Manzo
- Mega Care Transport, LLC
- Kevin Sam Merigian
- Eromosele Okhiria
All providers in Eads, TN · General Practice Dentistry in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 20, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.