| Lighthouse Dental Llc | |
|
10803a E 350 Hwy Raytown MO 64138 | |
| (816) 356-2476 | |
| (816) 353-1430 |
| Full Name | Lighthouse Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 10803a E 350 Hwy, Raytown, Missouri |
| Authorized Official Name and Position | Jack E Ferguson (CO OWNER DENTIST) |
| Authorized Official Contact | 8163562476 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lighthouse Dental Llc 10803a E 350 Hwy Raytown MO 64138 Ph: (816) 356-2476 | Lighthouse Dental Llc 10803a E 350 Hwy Raytown MO 64138 Ph: (816) 356-2476 |
| NPI Number | 1710045224 |
|---|---|
| Provider Enumeration Date | 12/05/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710045224 | NPI | - | NPPES |
| 09718037 | Other | MO | BCBS |
| 33345021 | Other | MO | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Douglas E. Harshberger, Dds, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5236 Blue Ridge Blvd, Raytown, MO 64133 Phone: 816-356-6020 Fax: 816-356-1606 | |
Raytown Dentist, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7316 Raytown Rd, Raytown, MO 64133 Phone: 816-353-0140 | |
Osborne And Williams Orthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10760 E State Route 350, Raytown, MO 64138 Phone: 816-358-9691 | |
Raytown Dental Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10208 E State Route 350, Raytown, MO 64138 Phone: 816-356-2476 | |
Smileshack Missouri, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 9105 E 350, Raytown, MO 64133 Phone: 816-533-6819 | |
Smile Safari Of Missouri Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10016 E 63rd St, Raytown, MO 64133 Phone: 816-313-8485 | |
Michael A Sampson Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6530 Raytown Rd, Ste F, Raytown, MO 64133 Phone: 816-358-0800 Fax: 816-358-0824 |