Provider Demographics
NPI:1063231926
Name:LIGHTHOUSE ORTHODONTICS OF LEWES
Entity type:Organization
Organization Name:LIGHTHOUSE ORTHODONTICS OF LEWES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORTHODONTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:HILDA
Authorized Official - Middle Name:
Authorized Official - Last Name:OWEISY
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:571-278-6708
Mailing Address - Street 1:1515 SAVANNAH RD STE 101
Mailing Address - Street 2:
Mailing Address - City:LEWES
Mailing Address - State:DE
Mailing Address - Zip Code:19958-1675
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1515 SAVANNAH RD STE 101
Practice Address - Street 2:
Practice Address - City:LEWES
Practice Address - State:DE
Practice Address - Zip Code:19958-1675
Practice Address - Country:US
Practice Address - Phone:302-200-8344
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-08
Last Update Date:2024-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty