LAKE PLAZA MOORE-AMS, PLLC
NPI 1710788591
Clinic/Center - Dental in Locust Grove, VA

Active since March 19, 2025
36101 GOODWIN DR, LOCUST GROVE, VA 22508(540) 972-8100(540) 972-8300 Get Directions Write a Review

NPPES record last updated: March 19, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lake Plaza Moore-ams, Pllc NPPES

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

LAKE PLAZA MOORE-AMS, PLLC (NPI 1710788591), doing business as Lake Plaza Dental, is a healthcare organization registered as a dental in Locust Grove, Virginia and active in the NPI registry since March 2025. The organization lists Marhilda Morales, Ceo, as its authorized official.

NPPES Registry Identity

NPI1710788591
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameLAKE PLAZA MOORE-AMS, PLLC
Location Address36101 GOODWIN DRLocust Grove, VA 22508-2029
Mailing Address36101 Goodwin DrLocust Grove, VA 22508-2029 · (540) 972-8100 · Fax (540) 972-8300
Fax(540) 972-8300
Organization SubpartNo
Authorized OfficialMarhilda MoralesCeo · (540) 680-0923
Enumeration DateMarch 19, 2025
NPPES CertifiedMarch 19, 2025
NPI 1710788591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
36101 GOODWIN DR, Locust Grove, VA 22508

Other Names 1

Doing Business AsLake Plaza Dental

Other Providers at the Same Location NPPES 3

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

Dentist
36101 GOODWIN DR
LOCUST GROVE, VA 22508
Clinic/Center (Dental)
36101 GOODWIN DR
LOCUST GROVE, VA 22508
Dentist
36101 GOODWIN DR
LOCUST GROVE, VA 22508

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 Plaza Moore-Ams, PLLC's NPI number?

The NPI number for Lake Plaza Moore-Ams, PLLC is 1710788591. It was assigned to this organization in the NPPES registry on March 19, 2025. The provider is doing business as Lake Plaza Dental.

Where is Lake Plaza Moore-Ams, PLLC located?

Lake Plaza Moore-Ams, PLLC is located at 36101 Goodwin Dr, Locust Grove, VA 22508. The listed phone number is (540) 972-8100.

What is Lake Plaza Moore-Ams, PLLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Lake Plaza Moore-Ams, PLLC was last updated on March 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.