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LAKERIDGE DENTAL ASSOCIATES
NPI 1902210776
Preferred Provider Organization in Woodbridge, VA

Active since June 19, 2014
12506 LAKE RIDGE DR, WOODBRIDGE, VA 22192(571) 408-4459 Get Directions Write a Review

NPPES record last updated: June 19, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lakeridge Dental Associates NPPES

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

LAKERIDGE DENTAL ASSOCIATES (NPI 1902210776) is a healthcare organization registered as a preferred provider organization in Woodbridge, Virginia and active in the NPI registry since June 2014. The organization lists Sasan Ahmadiyar, Dentist/owner, as its authorized official.

NPPES Registry Identity

NPI1902210776
Entity TypeOrganization
Primary Taxonomy305R00000X
Legal Business NameLAKERIDGE DENTAL ASSOCIATES
Location Address12506 LAKE RIDGE DRWoodbridge, VA 22192-2397
Mailing Address12506 Lake Ridge DrWoodbridge, VA 22192-2397 · (571) 408-4459
Phone(571) 408-4459
Organization SubpartNo
Authorized OfficialSasan AhmadiyarDentist/owner · (540) 710-6000
Enumeration DateJune 19, 2014
✔ NPI 1902210776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreferred Provider OrganizationManaged Care Organizations
Taxonomy Code305R00000X
License✔ Licensed in VA · 0401008767
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
12506 LAKE RIDGE DR, Woodbridge, VA 22192
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Other Providers at the Same Location NPPES

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

REZA GOLESORKHI MD
Internal Medicine
12506 LAKE RIDGE DR, C
WOODBRIDGE, VA 22192
Prince William County (703) 494-6111

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 Lakeridge Dental Associates's NPI number?

The NPI number for Lakeridge Dental Associates is 1902210776. It was assigned to this organization in the NPPES registry on June 19, 2014.

Where is Lakeridge Dental Associates located?

Lakeridge Dental Associates is located at 12506 Lake Ridge Dr, Woodbridge, VA 22192. The listed phone number is (571) 408-4459.

What is Lakeridge Dental Associates's specialty?

The primary specialty registered for this NPI is Preferred Provider Organization with taxonomy code 305R00000X.

When was this NPI record last updated?

The NPPES record for Lakeridge Dental Associates was last updated on June 19, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.