Lighthouse Dental Llc is a Dental Clinic in Raytown, Missouri. It is located at 10803a E 350 Hwy, Raytown, MO and its contact number is 816-356-2476. The authorized person for Lighthouse Dental Llc is Dr. Jack E Ferguson
who is Co Owner Dentist of the clinic and their contact number is 816-356-2476.
Lighthouse Dental Llc Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Lighthouse Dental Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Lighthouse Dental Llc |
| Specialization: | General Practice Dentistry |
| Clinic Address: | 10803a E 350 Hwy, Raytown, Missouri, 64138 |
| Phone: | 816-356-2476 |
| Fax: | 816-353-1430 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Jack E Ferguson |
| Position: | Co Owner Dentist |
| Contact Number: | 816-356-2476 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Lighthouse Dental Llc clinic are as mentioned below.
| NPI Number: | 1710045224 |
| NPI Enumeration Date: | 05 Dec, 2006 |
| NPI Last Update On: | 22 Aug, 2020 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lighthouse Dental Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| General Practice | | | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 09718037 | Other | Missouri | Bcbs |
| 33345021 | Other | Missouri | Bcbs |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Lighthouse Dental Llc 10803a E 350 Hwy, Raytown, Missouri |
| Zip: | 64138 |
| Phone Number: | 816-356-2476 |
| Fax Number: | 816-353-1430 |
Patients can reach Lighthouse Dental Llc at
10803a E 350 Hwy, Raytown, Missouri or can
call to book an appointment on 816-356-2476.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.