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

Lake Ridge Pediatric Dentistry PLLC

Organization Pediatric Dentistry · NPI 1558224378

Lake Ridge Pediatric Dentistry PLLC is a Pediatric Dentistry in Woodbridge, Virginia. Registered with an NPI since 2025.

In the registry since
2025
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

2080 Old Bridge Rd Ste 101
Woodbridge, VA 22192-2491
Phone: (571) 398-0672
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X

Record details

NPI number1558224378
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Fadi Saleh — Owner · (571) 398-0672
Other names Lake Ridge Pediatric Dentistry
NPI enumeratedDecember 8, 2025
Last updated in NPPESDecember 8, 2025
Certification dateDecember 8, 2025
Mailing address2080 Old Bridge Rd Ste 101, Woodbridge, VA 22192-2491

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