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Lake Ridge Endodontics
Endodontist in Woodbridge, Virginia
NPI 1205933405

Lake Ridge Endodontics is a Endodontist based in Lake Ridge, VA and is specialized in Endodontics. Lake Ridge Endodontics practices in Woodbridge, VA. The NPI Number for Lake Ridge Endodontics is 1205933405 and holds a License No. 041007464 (Virginia).

The current practice location address for Lake Ridge Endodontics is 12510 C Lake Ridge Dr, Woodbridge, VA and can be reached out via phone at 703-494-8624 and via fax at 703-497-1258. You can also correspond with Lake Ridge Endodontics through the mailing address at 12510 LAKE RIDGE DR STE C, LAKE RIDGE, VA - 22192-7501 (mailing address contact number: 703-494-8624).

Location: 12510 C Lake Ridge Dr, Woodbridge, VA, 22192-7501
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1205933405
Provider Name
Lake Ridge Endodontics
Credential
Provider Entity Type
Organization
Address
12510 C Lake Ridge Dr, Woodbridge, VA, 22192-7501
Phone Number
703-494-8624
Fax Number
703-497-1258
Provider Enumeration Date
09/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
872859 01 UNITED CONCORDIA
174982 01 BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
12510 C Lake Ridge Dr
City
Woodbridge
State
Virginia
Zip
22192-2335
Phone Number
703-494-8624
Fax Number
703-497-1258
person
Provider Business Mailing Address Details
Address
12510 Lake Ridge Dr Ste C
City
Lake Ridge
State
Virginia
Zip
22192-7501
Phone Number
703-494-8624
Fax Number
703-497-1258
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Endodontics
Taxonomy
1223E0200X
License No.
041007464 (Virginia)
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
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