Organization Active NPI

Lawrence R. Muller, DDS, PC

  • Dentist
  • Lake Ridge, VA
National Provider Identifier
1780858746
Registry record updated Apr 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401007182 Issued in VA
Legal business name
LAWRENCE R. MULLER, DDS, PC
Practice address
3302 Old Bridge Rd Ste F
Lake Ridge, VA 22192-5262
Phone
(703) 497-9709
NPI assigned
Apr 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2008

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

Authorized official

Name
Lawrence R MullerNPI 1851310437
Title
President
Phone
(703) 497-9709

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 0401007182 VA Primary

Addresses

Primary practice location

3302 Old Bridge Rd Ste F
Lake Ridge, VA 22192-5262

Mailing address

3302 Old Bridge Rd Ste F
Lake Ridge, VA 22192-5262
Phone (703) 497-9709

National Provider Directory

National Provider Directory

Locations

3302 Old Bridge Rd
Ste F
Woodbridge, VA 22192
Phone (703) 497-9709

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1208736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208736000000",
    "number": "1780858746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3302 OLD BRIDGE RD STE F",
            "city": "LAKE RIDGE",
            "state": "VA",
            "postal_code": "221925262",
            "telephone_number": "703-497-9709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3302 OLD BRIDGE RD STE F",
            "city": "LAKE RIDGE",
            "state": "VA",
            "postal_code": "221925262",
            "telephone_number": "703-497-9709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE R. MULLER, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-21",
        "last_updated": "2008-04-21",
        "status": "A",
        "authorized_official_last_name": "MULLER",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-497-9709"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401007182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Ridge, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2008; 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.