Lakeridge Dental Associates

LBN: Lakeridge Dental Associates
Lakeridge Dental Associates is an health care organization with primary practice located at 12506 Lake Ridge Dr , Woodbridge VA 22192-2397. The organization recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as the primary health care specialty. Lakeridge Dental Associates can be contacted via phone (571) 408-4459, or through Ahmadiyar, Sasan via phone (540) 710-6000.

Contact Information

Primary practice address
12506 Lake Ridge Dr Woodbridge VA 22192-2397
Phone: (571) 408-4459
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ahmadiyar, Sasan Doctor of Dental Surgery (DDS)
Phone: (540) 710-6000

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Preferred Provider Organization 305R00000X 0401008767 Virginia

Profile Details

NPI number 1902210776
LBN Legal business name Lakeridge Dental Associates
DBA Doing business as
Authorized official Ahmadiyar, Sasan Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 19th, 2014
Last updated Jun 19th, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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