Yogi Dental PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

0401413519 Issued in VA

Legal business name

YOGI DENTAL PLLC

Doing business as

Light Family Dental-Woodbridge

Practice address

14416 Jefferson Davis Hwy Ste 16
Woodbridge, VA 22191-2890

Phone

(703) 492-1999

NPI assigned

Nov 27, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Mayur M Patel, DDS

Title

Owner

Phone

(703) 492-1999

Specialties & licenses 2

Addresses

Other names 1

• Light Family Dental-Woodbridge Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jong S Lee

  • General Practice Dentistry
  • Woodbridge, VA
  • NPI 1124172879
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1353974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353974400000",
    "number": "1366787608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14416 JEFFERSON DAVIS HWY STE 16",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221912890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14416 JEFFERSON DAVIS HWY STE 16",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221912890",
            "telephone_number": "703-492-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOGI DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-27",
        "last_updated": "2012-11-27",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "MAYUR",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-492-1999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401413519",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "VA",
            "license": "0401412959",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Light Family Dental-Woodbridge",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• George Matthew Yasenosky, PT, DPT
• Mohammad-Ali Yazdani Abyaneh
• Kambiz Yazdani, M.D.
• Jisun Yi, MD
• Ykim Dental
• Young-a Yoo, DDS
• Hong Bi Yoon, M.D.
• Jung Whan Yoon
• Wintana B. Yosief, CRNA
• Malik Anthony Youmans

• Dentist in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.