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Lakeridge Dental Associates
Preferred Provider Organization in Woodbridge, Virginia
NPI 1902210776

Lakeridge Dental Associates is a Preferred Provider Organization based in Woodbridge, VA. Lakeridge Dental Associates practices in Woodbridge, VA. The NPI Number for Lakeridge Dental Associates is 1902210776 and holds a License No. 0401008767 (Virginia).

The current practice location address for Lakeridge Dental Associates is 12506 Lake Ridge Dr, Woodbridge, VA and can be reached out via phone at 571-408-4459.

Location: 12506 Lake Ridge Dr, Woodbridge, VA, 22192-2397
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1902210776
Provider Name
Lakeridge Dental Associates
Credential
Provider Entity Type
Organization
Address
12506 Lake Ridge Dr, Woodbridge, VA, 22192-2397
Phone Number
571-408-4459
Fax Number
Provider Enumeration Date
06/19/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
12506 Lake Ridge Dr
City
Woodbridge
State
Virginia
Zip
22192-2397
Phone Number
571-408-4459
Fax Number
person
Provider Business Mailing Address Details
Address
12506 Lake Ridge Dr
City
Woodbridge
State
Virginia
Zip
22192-2397
Phone Number
571-408-4459
Fax Number
person
Provider's Taxonomy Details 1
Type
Managed Care Organizations
Classification
Preferred Provider Organization
Speciality
-
Taxonomy
305R00000X
License No.
0401008767 (Virginia)
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.
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