BRITESTARS PEDIATRIC DENTISTRY
NPI 1801029590
Dentist - Pediatric Dentistry in Woodbridge, VA

Active since August 27, 2009
12602 LAKE RIDGE DR, WOODBRIDGE, VA 22192(703) 490-5050 Get Directions Write a Review

NPPES record last updated: February 8, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Britestars Pediatric Dentistry NPPES

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

BRITESTARS PEDIATRIC DENTISTRY (NPI 1801029590) is a healthcare organization registered as a pediatric dentistry in Woodbridge, Virginia and active in the NPI registry since August 2009. The organization maintains a secondary practice location in Woodbridge and lists Gina C Pham, Pediatric Dentist, as its authorized official.

NPPES Registry Identity

NPI1801029590
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameGINA C PHAM DDS PC
Location Address12602 LAKE RIDGE DRWoodbridge, VA 22192-2335
Mailing AddressPo Box 10083Mc Lean, VA 22102-8083 · (703) 626-8196
Organization SubpartNo
Authorized OfficialGina C PhamPediatric Dentist · (703) 490-5050
Enumeration DateAugust 27, 2009
Last NPPES UpdateFebruary 8, 2022
NPPES CertifiedFebruary 8, 2022
NPI 1801029590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License Licensed in VA · 0401411775
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.

12602 LAKE RIDGE DR, Woodbridge, VA 22192

Other Names 1

Doing Business AsBritestars Pediatric Dentistry

Secondary Practice Location 1

Location 113900 Noblewood PlzWoodbridge, VA 22193-1449 · Phone (703) 490-5060

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

Accepted Insurance

Other Providers at the Same Location NPPES 4

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

Dentist (General Practice)
12602 LAKE RIDGE DR
WOODBRIDGE, VA 22192
Dentist
12602 LAKE RIDGE DR
WOODBRIDGE, VA 22192
Dentist (Pediatric Dentistry)
12602 LAKE RIDGE DR
WOODBRIDGE, VA 22192
Dentist (Pediatric Dentistry)
12602 LAKE RIDGE DR
WOODBRIDGE, VA 22192

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 Gina C Pham Dds PC's NPI number?

The NPI number for Gina C Pham Dds PC is 1801029590. It was assigned to this organization in the NPPES registry on August 27, 2009.

Where is Gina C Pham Dds PC located?

Gina C Pham Dds PC is located at 12602 Lake Ridge Dr, Woodbridge, VA 22192. The listed phone number is (703) 490-5050.

What is Gina C Pham Dds PC's specialty?

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

What insurance does Gina C Pham Dds PC accept?

Health plans from UnitedHealthcare list Gina C Pham Dds PC 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 Gina C Pham Dds PC was last updated on February 8, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.