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

Lakeridgesmiles

Organization Dental Clinic/Center · NPI 1528713518

Lakeridgesmiles is a Dental Clinic/Center in Woodbridge, Virginia. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

12506 Lake Ridge Dr Ste B
Woodbridge, VA 22192-2397
Phone: (703) 901-7015
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1528713518
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Malika Kohli — Owner/Dentist · (703) 901-7015
NPI enumeratedFebruary 17, 2022
Last updated in NPPESFebruary 17, 2022
Certification dateFebruary 17, 2022
Mailing address12506 Lake Ridge Dr Ste B, Woodbridge, VA 22192-2397

Other providers in Woodbridge