DENTAL PROFESSIONALS OF VIRGINIA, P.C
NPI 1942941117
Student in an Organized Health Care Education/Training Program in Woodbridge, VA

Active since April 04, 2022
13625 OFFICE PL STE 102, WOODBRIDGE, VA 22192(703) 670-7071 Get Directions Write a Review

NPPES record last updated: April 4, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dental Professionals Of Virginia, P.c NPPES

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

DENTAL PROFESSIONALS OF VIRGINIA, P.C (NPI 1942941117), doing business as Lake Ridge Dental Care, is a healthcare organization registered as a student in an organized health care education/training program in Woodbridge, Virginia and active in the NPI registry since April 2022. The organization lists Hillary Thull, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1942941117
Entity TypeOrganization
Primary Taxonomy390200000X
Legal Business NameDENTAL PROFESSIONALS OF VIRGINIA, P.C
Location Address13625 OFFICE PL STE 102Woodbridge, VA 22192-4270
Mailing Address13625 Office Pl Ste 102Woodbridge, VA 22192-4270
Organization SubpartYes
Authorized OfficialHillary ThullCredentialing Coordinator · (217) 540-8946
Enumeration DateApril 4, 2022
NPPES CertifiedApril 1, 2022
NPI 1942941117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
13625 OFFICE PL STE 102, Woodbridge, VA 22192

Other Names 1

Doing Business AsLake Ridge Dental Care

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

Other Providers at the Same Location NPPES 2

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

Dentist (General Practice)
13625 OFFICE PL STE 102
WOODBRIDGE, VA 22192
Dental Hygienist
13625 OFFICE PL STE 102
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 Dental Professionals Of Virginia, P.C's NPI number?

The NPI number for Dental Professionals Of Virginia, P.C is 1942941117. It was assigned to this organization in the NPPES registry on April 4, 2022. The provider is doing business as Lake Ridge Dental Care.

Where is Dental Professionals Of Virginia, P.C located?

Dental Professionals Of Virginia, P.C is located at 13625 Office Pl Ste 102, Woodbridge, VA 22192. The listed phone number is (703) 670-7071.

What is Dental Professionals Of Virginia, P.C's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Dental Professionals Of Virginia, P.C was last updated on April 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.