MANASSAS MODERN DENTISTRY PLLC
NPI 1114652286
Dentist in Manassas, VA

Q: What is Manassas Modern Dentistry PLLC's NPI number?

The NPI number for Manassas Modern Dentistry PLLC is 1114652286. It was assigned to this organization in the NPPES registry on July 21, 2022.

Q: What is Manassas Modern Dentistry PLLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since July 21, 2022

10620 CRESTWOOD DR STE A, MANASSAS, VA 20109(703) 361-2911 Get Directions Write a Review

NPPES record last updated: May 11, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 11, 2023, Jul 21, 2022 (2 updates tracked since 2022).

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About Manassas Modern Dentistry Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MANASSAS MODERN DENTISTRY PLLC (NPI 1114652286) is a healthcare organization registered as a dentist in Manassas, Virginia and active in the NPI registry since July 2022. The organization lists Tareq Salameh, Doctor/owner, as its authorized official.

NPPES Registry Identity

NPI1114652286

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameMANASSAS MODERN DENTISTRY PLLC

Location Address10620 CRESTWOOD DR STE AManassas, VA 20109-4403

Mailing Address10620 Crestwood Dr Ste AManassas, VA 20109-4403 · (703) 361-2911

Phone(703) 361-2911

Organization SubpartNo

Authorized OfficialTareq SalamehDoctor/owner · (561) 827-1164

Enumeration DateJuly 21, 2022

Last NPPES UpdateMay 11, 20232 updates tracked since enumeration

NPPES CertifiedMay 11, 2023

✔ NPI 1114652286 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

10620 CRESTWOOD DR STE A, Manassas, VA 20109

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Other Names 1

Doing Business AsManassas Modern Dentistry Pllc

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ASHLEY DIANA ROSINSKI D.D.S

Dentist

10620 CRESTWOOD DR STE A
MANASSAS, VA 20109

Prince William County (703) 361-2911

DR. KENNETH A ROSINSKI D.D.S.

Dentist (General Practice)

10620 CRESTWOOD DR STE A
MANASSAS, VA 20109

Prince William County (703) 361-2911

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Manassas Modern Dentistry PLLC's NPI number?

The NPI number for Manassas Modern Dentistry PLLC is 1114652286. It was assigned to this organization in the NPPES registry on July 21, 2022.

Where is Manassas Modern Dentistry PLLC located?

Manassas Modern Dentistry PLLC is located at 10620 Crestwood Dr Ste A, Manassas, VA 20109. The listed phone number is (703) 361-2911.

What is Manassas Modern Dentistry PLLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Manassas Modern Dentistry PLLC was last updated on May 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.