Healthcare Provider Details
I. General information
NPI: 1235045691
Provider Name (Legal Business Name): RIVERBEND ORTHODONTICS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
300 N RIVER RD
BRIDGEWATER VA
22812-1221
US
IV. Provider business mailing address
300 N RIVER RD
BRIDGEWATER VA
22812-1221
US
V. Phone/Fax
- Phone: 717-413-5606
- Fax:
- Phone: 717-413-5606
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1223X0400X |
| Taxonomy | Orthodontics and Dentofacial Orthopedics Dentistry |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ERIKA
BABIKOW
Title or Position: ORTHODONTIST
Credential: DMD
Phone: 717-413-5606