Dental Family Practice is a Periodontology Clinic in Lake Ridge, Virginia. It is located at 12724 Directors Loop, Lake Ridge, VA and its contact number is 703-494-9171. The authorized person for Dental Family Practice is Dr. Mina T Mostofi
who is Dentist of the clinic and their contact number is 703-494-9171. The primary license number for Dental Family Practice is 0401007810 (General Practice) in Virginia.
Dental Family Practice Clinic is specialized in that branch of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Complete Clinic Profile:
Dental Family Practice Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Dental Family Practice |
| Specialization: | Periodontology |
| Clinic Address: | 12724 Directors Loop, Lake Ridge,
Virginia, 22192-2462 |
| Phone: | 703-494-9171 |
| Fax: | 703-490-4066 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Mina T Mostofi |
| Position: | Dentist |
| Contact Number: | 703-494-9171 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Dental Family Practice clinic are as mentioned below.
| NPI Number: | 1558483305 |
| NPI Enumeration Date: | 04 Apr, 2007 |
| NPI Last Update On: | 23 Jun, 2008 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dental Family Practice are as mentioned below.
| Specialization | License Number | State | Status | |
| General Practice | 0401007810 | Virginia | Primary | |
| Periodontics | 0401008961 | Virginia | Secondary | |
| Orthodontics and Dentofacial Orthopedics | 0401410790 | Virginia | Secondary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Dental Family Practice
12724 Directors Loop,
Lake Ridge, Virginia |
| Zip: | 22192-2462 |
| Phone Number: | 703-494-9171 |
| Fax Number: | 703-490-4066 |
Patients can reach Dental Family Practice at
12724 Directors Loop, Lake Ridge, Virginia or can
call to book an appointment on 703-494-9171.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.