Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Blossom Smile of Woodbridge PLLC

Organization General Practice Dentistry · NPI 1518749423

Blossom Smile of Woodbridge PLLC is a General Practice Dentistry in Woodbridge, Virginia. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12618 Lake Ridge Dr
Woodbridge, VA 22192-2335
Phone: (916) 622-2098
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X
General Practice Dentistry Taxonomy 1223G0001X

Record details

NPI number1518749423
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Hussein Alhasan — Ceo · (916) 622-2098
NPI enumeratedOctober 16, 2023
Last updated in NPPESOctober 16, 2023
Certification dateOctober 13, 2023
Mailing address6800 Fleetwood Rd Apt 1001, Mc Lean, VA 22101-3610

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