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BLOSSOM SMILE OF WOODBRIDGE PLLC
NPI 1518749423
Clinic/Center - Dental in Woodbridge, VA

Active since October 16, 2023
12618 LAKE RIDGE DR, WOODBRIDGE, VA 22192(916) 622-2098 Get Directions Write a Review

NPPES record last updated: October 16, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Blossom Smile Of Woodbridge Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLOSSOM SMILE OF WOODBRIDGE PLLC (NPI 1518749423) is a healthcare organization registered as a dental in Woodbridge, Virginia and active in the NPI registry since October 2023. The organization lists Hussein Alhasan, Ceo, as its authorized official.

NPPES Registry Identity

NPI1518749423
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameBLOSSOM SMILE OF WOODBRIDGE PLLC
Location Address12618 LAKE RIDGE DRWoodbridge, VA 22192-2335
Mailing Address6800 Fleetwood Rd Apt 1001Mc Lean, VA 22101-3610 · (916) 622-2098
Phone(916) 622-2098
Organization SubpartNo
Authorized OfficialHussein AlhasanCeo · (916) 622-2098
Enumeration DateOctober 16, 2023
NPPES CertifiedOctober 13, 2023
✔ NPI 1518749423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
Also ListedDentist · General PracticeTaxonomy 1223G0001X
12618 LAKE RIDGE DR, Woodbridge, VA 22192
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. NOOR AL OBAIDI DDS, MSD
Dentist
12618 LAKE RIDGE DR
WOODBRIDGE, VA 22192
Prince William County (703) 636-9895
DR. HUSSEIN ALHASAN DDS, MSD
Dentist
12618 LAKE RIDGE DR
WOODBRIDGE, VA 22192
Prince William County (703) 636-9895

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blossom Smile Of Woodbridge PLLC's NPI number?

The NPI number for Blossom Smile Of Woodbridge PLLC is 1518749423. It was assigned to this organization in the NPPES registry on October 16, 2023.

Where is Blossom Smile Of Woodbridge PLLC located?

Blossom Smile Of Woodbridge PLLC is located at 12618 Lake Ridge Dr, Woodbridge, VA 22192. The listed phone number is (916) 622-2098.

What is Blossom Smile Of Woodbridge PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

What insurance does Blossom Smile Of Woodbridge PLLC accept?

Health plans from UnitedHealthcare list Blossom Smile Of Woodbridge PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Blossom Smile Of Woodbridge PLLC was last updated on October 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.