P Praxis·MD
● Active Type 2 · Organization

Lighthouse Dental Group

Dentist·Eagle, ID· NPI 1174631287 · Enumerated 2006 · 19 years on NPI
Lighthouse Dental Group is 1 of 591 dentist organizations in Idaho.
NPI age
19 years
Enumerated 2006-08-28
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Higginson
Partner/dentist
Last NPPES update
2010-01-12
Source: monthly bulk 2026-05

How this organization compares

Across 591 active dentist providers in Idaho.

NPI age
19 years
↑ 3 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2006 → 2026

2006-08Enumerated in NPPES
2006 2026

Where they practice

Primary practice location
1177 N Eagle Rd
Eagle, ID 83616
📞 2089393010fax 2089393027
Mailing address
1177 N Eagle Rd
Eagle, ID 83616
📞 2089393010fax 2089393027

Authorized official

Michael Lynn Higginson, DDS
Partner/dentist
📞 2089393010

Individual providers at this organization

1 individual provider on file at this primary practice address.

Specialties

  • Dentist Primary
    A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two...
    ID license #D3380ID license #DRUG ID #BH6399857ID license #D3878ID license #DRUG ID #BJ9304623 taxonomy 122300000X

Practice context

Multi-provider organization. 1 individual provider on file at this primary address.

Provyx · Custom healthcare lists

Need all 591 Dentist providers in Idaho?

Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.

Request a quote →

How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

Related