Lake Ridge Dental Clinic - Dental Clinic in Lake Ridge, VA

Lake Ridge Dental Clinic is a dental clinic (Dentist - General Practice) in Lake Ridge, Virginia. The current practice location for Lake Ridge Dental Clinic is 12724 Directors Loop, Lake Ridge, Virginia. For appointments, you can reach them via phone at (703) 494-9171. The mailing address for Lake Ridge Dental Clinic is 12724 Directors Loop, Lake Ridge, Virginia and phone number is (703) 494-9171.

Lake Ridge Dental Clinic is licensed to practice in Virginia (license number 0401007810) and its NPI number is 1558483305. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (703) 494-9171.

Contact Information

Lake Ridge Dental Clinic
12724 Directors Loop
Lake Ridge
VA 22192-2462
(703) 494-9171
(703) 490-4066

Map and Direction


Dental Care Clinic Profile

Full NameLake Ridge Dental Clinic
SpecialityDentist - General Practice
Location12724 Directors Loop, Lake Ridge, Virginia
Authorized Official Name and PositionMina T Mostofi (DENTIST)
Authorized Official Contact7034949171
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Lake Ridge Dental Clinic
12724 Directors Loop
Lake Ridge
VA 22192-2462

Ph: (703) 494-9171
Lake Ridge Dental Clinic
12724 Directors Loop
Lake Ridge
VA 22192-2462

Ph: (703) 494-9171

NPI Details:

NPI Number1558483305
Provider Enumeration Date04/04/2007
Last Update Date06/23/2008

Medical Identifiers

Medical identifiers for Lake Ridge Dental Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558483305NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 0401007810 (Virginia)Primary
1223P0300XDentist - Periodontics 0401008961 (Virginia)Secondary
1223X0400XDentist - Orthodontics And Dentofacial Orthopedics 0401410790 (Virginia)Secondary

Reviews and Comments


Dental Clinics in Lake Ridge, VA

Robert C Dost Dds Pllc
Dental Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1990 Old Bridge Rd, Suite #301, Lake Ridge, VA 22192
Phone: 703-491-4040    Fax: 703-494-4859
Lawrence R. Muller, Dds, Pc
Dental Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 3302 Old Bridge Rd Ste F, Lake Ridge, VA 22192
Phone: 703-497-9709    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.