LAKE RIDGE ORTHODONTICS PC
NPI 1659675122
Dentist - Orthodontics and Dentofacial Orthopedics in Woodbridge, VA

Active since December 27, 2010
12662 LAKE RIDGE DR, SUITE A, WOODBRIDGE, VA 22192(703) 491-5166(703) 494-4853 Get Directions Write a Review

NPPES record last updated: December 27, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lake Ridge Orthodontics Pc NPPES

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

LAKE RIDGE ORTHODONTICS PC (NPI 1659675122) is a healthcare organization registered as an orthodontics and dentofacial orthopedics in Woodbridge, Virginia and active in the NPI registry since December 2010. The organization lists Fadi F Saleh, Owner, as its authorized official.

NPPES Registry Identity

NPI1659675122
Entity TypeOrganization
Primary Taxonomy1223X0400X
Legal Business NameLAKE RIDGE ORTHODONTICS PC
Location Address12662 LAKE RIDGE DR, SUITE AWoodbridge, VA 22192-7507
Mailing Address12662 Lake Ridge Dr, Suite AWoodbridge, VA 22192-7507 · (703) 491-5166 · Fax (703) 494-4853
Fax(703) 494-4853
Organization SubpartNo
Authorized OfficialFadi F SalehOwner · (703) 491-5166
Enumeration DateDecember 27, 2010
NPI 1659675122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in VA · 0401412669
Definition

That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.

12662 LAKE RIDGE DR, Woodbridge, VA 22192

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 Orthodontics PC's NPI number?

The NPI number for Lake Ridge Orthodontics PC is 1659675122. It was assigned to this organization in the NPPES registry on December 27, 2010.

Where is Lake Ridge Orthodontics PC located?

Lake Ridge Orthodontics PC is located at 12662 Lake Ridge Dr Suite A, Woodbridge, VA 22192. The listed phone number is (703) 491-5166.

What is Lake Ridge Orthodontics PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

When was this NPI record last updated?

The NPPES record for Lake Ridge Orthodontics PC was last updated on December 27, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.