Lakeridge Dental Associates
NPI 1902210776 · Preferred Provider Organization · Woodbridge, VA
Lakeridge Dental Associates is a Preferred Provider Organization organization in Woodbridge, VA (NPI 1902210776).
Provider details
- NPI number
- 1902210776
- Entity type
- Organization
- Primary specialty
- Preferred Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Sasan Ahmadiyar, Dentist/Owner(540) 710-6000
- License
- 0401008767 (VA)
Specialties & taxonomies
Managed Care Organizations
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2014-06-19
- Last updated
- 2014-06-19
Frequently asked questions
- What is Lakeridge Dental Associates's NPI number?
- Lakeridge Dental Associates's National Provider Identifier (NPI) is 1902210776, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lakeridge Dental Associates?
- Lakeridge Dental Associates is classified in the NPPES registry as Preferred Provider Organization (Managed Care Organizations).
- Where is Lakeridge Dental Associates located?
- Lakeridge Dental Associates's practice location on file with NPPES is 12506 Lake Ridge Dr, Woodbridge, VA 22192-2397.
- What is Lakeridge Dental Associates's phone number?
- The practice phone number listed in the NPPES registry for Lakeridge Dental Associates is (571) 408-4459.
- Who is the authorized official for Lakeridge Dental Associates?
- The authorized official listed on Lakeridge Dental Associates's NPPES record is Sasan Ahmadiyar, Dentist/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lakeridge Dental Associates's NPI active?
- Yes — Lakeridge Dental Associates's NPI (1902210776) is active in the NPPES registry as of the last update on 2014-06-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.