Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1972787380 Individual Practitioner Female Practitioner

Dr. Mina T Mostofi , DMD

Dentist - General Practice • Lake Ridge, VA

Professional Overview & Biography Verified Profile Summary

Dr. Mina Mostofi, DMD is a registered healthcare professional specializing in Dentist - General Practice in Lake Ridge, VA. Practice services are available at 12724 DIRECTORS LOOP under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12724 Directors Loop

Lake Ridge, VA 221922462

Telephone 7034949171
Fax 7034904066
Associated Practice Facility / Clinic
🏢 Dental Family Practice Facility NPI 1558483305

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Lake Ridge, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.6 Yrs
Regional Practice Density
2 Specialists

Practicing in Lake Ridge, VA (3535 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License VA 0401007810

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Claudia Cruz , DDS

Dentist - Orthodontics and Dentofacial Orthopedics

NPI 1528531241

Doctor of Dental Surgery

Dr. Anne Compton , DDS

Dentist - Orthodontics and Dentofacial Orthopedics

NPI 1831175686

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 20, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location December 20, 2007

Registered at 12724 DIRECTORS LOOP, LAKE RIDGE, VA 221922462 (Tel: 7034949171)

📍
Updated Business Mailing Address December 20, 2007

Registered at 12724 DIRECTORS LOOP, LAKE RIDGE, VA 221922462 (Tel: 7034949171)

👤
Provider Name / Credentials Updated December 20, 2007

Recorded as MINA MOSTOFI, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 20, 2007

Dentist (License #0401007810 in VA)

🟢
Initial NPI Registration & Enumeration December 20, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1972787380
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 20, 2007
Last Update: December 20, 2007
Sole Proprietor: Yes

Mailing Address

12724 Directors Loop

Lake Ridge, VA 221922462

Phone: 7034949171

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.