Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lighthouse Dental Group

Organization Dentist · NPI 1174631287

Lighthouse Dental Group is a Dentist in Eagle, Idaho. Licensed in Idaho. Registered with an NPI since 2006.

Licensed in
ID
In the registry since
2006
Specialties on file
4

Practice location Address checks out

1177 N Eagle Rd
Eagle, ID 83616
Phone: (208) 939-3010
Fax: (208) 939-3027
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D3380 (ID)
Dentist Taxonomy 122300000X · Licence DRUG ID #BH6399857 (ID)
Dentist Taxonomy 122300000X · Licence D3878 (ID)
Dentist Taxonomy 122300000X · Licence DRUG ID #BJ9304623 (ID)

Record details

NPI number1174631287
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Higginson — Partner/Dentist · (208) 939-3010
NPI enumeratedAugust 28, 2006
Last updated in NPPESJanuary 12, 2010
Mailing address1177 N Eagle Rd, Eagle, ID 83616

Other providers in Eagle