Dirk Murdock Lighthall, D.D.S.

Individual provider Active NPI General Practice Dentistry · Pleasant View, UT

NPI 1972794030 · NPPES record last updated Mar 2, 2022

Key facts

NPI
1972794030
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
6592134-9922 (UT)
Practice address
2797 N Hwy 89 Ste 201
Pleasant View, UT 84404-1231
Phone
(801) 737-2410
NPI assigned
Aug 5, 2007
Sex
Male
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
D07533AZMDGeneral Practice Dentistry
6592134-9922UTMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Lighthall Family Dentistry of Gilbert PLC Past Accepting new patients
Smiles at Mercy Gilbert LLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D07533 AZ
General Practice Dentistry 1223G0001X 6592134-9922 UT Yes

Addresses

Primary practice location

2797 N Hwy 89 Ste 201
Pleasant View, UT 84404-1231

Mailing address

2797 N Highway 89 Ste 201
Pleasant View, UT 84404-1231
Phone (801) 737-2410

Other providers in Pleasant View, UT

All providers in Pleasant View, UT · General Practice Dentistry in Utah

Sources for this page

Verify at the official NPI Registry.