Dental Family Practice
NPI 1558483305ActiveOrganization· Dentist, General Practice· Lake Ridge, VA
Dentist, General Practice in Lake Ridge, Virginia, registered in NPPES in April 2007. The authorized official on file is Mina T. Mostofi, DMD, Dentist.
Overview
| NPI | 1558483305 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 4, 2007 |
| Last updated in NPPES | Jun 23, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 0401007810 | VA |
| Dentist, Periodontics | 1223P0300X | 0401008961 | VA |
| Dentist, Orthodontics and Dentofacial Orthopedics | 1223X0400X | 0401410790 | VA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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