Vicky Luu, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

0401419475 Issued in VA

Practice address

12764 Darby Brook CT
Woodbridge, VA 22192-2486

Phone

(703) 499-8888

NPI assigned

Jul 28, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dental Center @ Lake Ridge

  • Clinic/Center
  • Woodbridge, VA
  • NPI 1801242466
  NPD (past)

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

{
    "created_epoch": "1753660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1427931484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4416 MEDFORD DR",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220035616",
            "telephone_number": "571-326-4438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12764 DARBY BROOK CT",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221922486",
            "telephone_number": "703-499-8888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9600 Main St",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220313798",
            "country_code": "US",
            "telephone_number": "703-978-3541",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6134 Arlington Blvd Unit M",
            "address_purpose": "LOCATION",
            "city": "Falls Church",
            "state": "VA",
            "postal_code": "220442901",
            "country_code": "US",
            "telephone_number": "703-237-4521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUU",
        "first_name": "VICKY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-28",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401419475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miguel Eduardo Lugo, PA
• Blanca Luizaga, FNP-BC
• Joseph Christopher Luna, CSFA,
• Ivy Sam Luong
• Phuong Luu
• Luxottica of America Inc.
• Aicha Lyazidi
• Barbara Jean Lydell, BCBA, LBA
• Danielle L Lynch, AUD
• Lyon Home Health Care LLC

• 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 Aug 14, 2025; 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.