Lighthouse Family Dentistry

NPI #1881982122 in Eads, Tennessee

Provider Information

NPI Number: 1881982122
Entity Type: Organization
Organization Name: Lighthouse Family Dentistry
Primary Specialty: Dentist - General Practice
Enumeration Date: Jul 20, 2011
Last Updated: Jul 20, 2011

Practice Location

Address: 3159 HIGHWAY 64 STE 100
City: Eads
State: Tennessee
ZIP Code: 38028-3322
Phone: (901) 465-2382

Authorized Official

Name: DR. MARILYN LIZ PHILLIPS, D.D.S
Title: OWNER
Phone: (901) 465-2382

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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