Lakeridge Dental Associates
NPI 1902210776ActiveOrganization· Preferred Provider Organization· Woodbridge, VA
Preferred Provider Organization in Woodbridge, Virginia, registered in NPPES in June 2014. The authorized official on file is Sasan Ahmadiyar, DDS, Dentist/Owner.
Overview
| NPI | 1902210776 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 19, 2014 |
| Last updated in NPPES | Jun 19, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Preferred Provider Organization Primary | 305R00000X | 0401008767 | VA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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 |
|---|
Other Preferred Provider Organization providers in Woodbridge
- 1942400189