| Lighthouse Family Dentistry | |
|
3159 Highway 64 Ste 100 Eads TN 38028-3322 | |
| (901) 465-2382 | |
| Not Available |
| Full Name | Lighthouse Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3159 Highway 64 Ste 100, Eads, Tennessee |
| Authorized Official Name and Position | Marilyn Liz Phillips (OWNER) |
| Authorized Official Contact | 9014652382 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lighthouse Family Dentistry 3159 Highway 64 Ste 100 Eads TN 38028-3322 Ph: (901) 465-2382 | Lighthouse Family Dentistry 3159 Highway 64 Ste 100 Eads TN 38028-3322 Ph: (901) 465-2382 |
| NPI Number | 1881982122 |
|---|---|
| Provider Enumeration Date | 07/20/2011 |
| Last Update Date | 07/20/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881982122 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 8582 (Tennessee) | Primary |
Elite Dental Care Eads Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3159 Highway 64 Ste 100, Eads, TN 38028 Phone: 901-465-2382 |