LAKE RIDGE PEDIATRIC DENTISTRY PLLC
NPI 1558224378
Dentist - Pediatric Dentistry in Woodbridge, VA

Q: What is Lake Ridge Pediatric Dentistry PLLC's NPI number?

The NPI number for Lake Ridge Pediatric Dentistry PLLC is 1558224378. It was assigned to this organization in the NPPES registry on December 8, 2025. The provider is doing business as Lake Ridge Pediatric Dentistry.

Q: What is Lake Ridge Pediatric Dentistry PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Active since December 08, 2025

2080 OLD BRIDGE RD STE 101, WOODBRIDGE, VA 22192(571) 398-0672 Get Directions Write a Review

NPPES record last updated: December 8, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Lake Ridge Pediatric Dentistry Pllc NPPES

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

LAKE RIDGE PEDIATRIC DENTISTRY PLLC (NPI 1558224378), doing business as Lake Ridge Pediatric Dentistry, is a healthcare organization registered as a pediatric dentistry in Woodbridge, Virginia and active in the NPI registry since December 2025. The organization lists Fadi Saleh, Owner, as its authorized official.

NPPES Registry Identity

NPI1558224378

Entity TypeOrganization

Primary Taxonomy1223P0221X

Legal Business NameLAKE RIDGE PEDIATRIC DENTISTRY PLLC

Location Address2080 OLD BRIDGE RD STE 101Woodbridge, VA 22192-2491

Mailing Address2080 Old Bridge Rd Ste 101Woodbridge, VA 22192-2491 · (571) 398-0672

Phone(571) 398-0672

Organization SubpartNo

Authorized OfficialFadi SalehOwner · (571) 398-0672

Enumeration DateDecember 8, 2025

NPPES CertifiedDecember 8, 2025

✔ NPI 1558224378 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

2080 OLD BRIDGE RD STE 101, Woodbridge, VA 22192

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Other Names 1

Doing Business AsLake Ridge Pediatric Dentistry

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Lake Ridge Pediatric Dentistry PLLC's NPI number?

The NPI number for Lake Ridge Pediatric Dentistry PLLC is 1558224378. It was assigned to this organization in the NPPES registry on December 8, 2025. The provider is doing business as Lake Ridge Pediatric Dentistry.

Where is Lake Ridge Pediatric Dentistry PLLC located?

Lake Ridge Pediatric Dentistry PLLC is located at 2080 Old Bridge Rd Ste 101, Woodbridge, VA 22192. The listed phone number is (571) 398-0672.

What is Lake Ridge Pediatric Dentistry PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Lake Ridge Pediatric Dentistry PLLC was last updated on December 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.