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FAIRFAX MODERN DENTISTRY
NPI 1174011191
Dentist in Fairfax, VA

Active since April 25, 2018
11050 LEE HWY, FAIRFAX, VA 22030(703) 520-6376 Get Directions Write a Review

NPPES record last updated: August 5, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 5, 2022, Apr 25, 2018 (2 updates tracked since 2018).

About Fairfax Modern Dentistry NPPES

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

FAIRFAX MODERN DENTISTRY (NPI 1174011191) is a healthcare organization registered as a dentist in Fairfax, Virginia and active in the NPI registry since April 2018. The organization lists Ali Shahrestani, Owner/dmd, as its authorized official.

NPPES Registry Identity

NPI1174011191
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameFAIRFAX MODERN DENTISTRY, PC
Location Address11050 LEE HWYFairfax, VA 22030-5014
Mailing AddressPo Box 920050Dallas, TX 75392-0050 · (714) 845-8280 · Fax (303) 952-0892
Phone(703) 520-6376
Organization SubpartNo
Authorized OfficialAli ShahrestaniOwner/dmd · (703) 520-6376
Enumeration DateApril 25, 2018
Last NPPES UpdateAugust 5, 20222 updates tracked since enumeration
NPPES CertifiedAugust 5, 2022
✔ NPI 1174011191 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.

11050 LEE HWY, Fairfax, VA 22030
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Other Names 1

Doing Business AsFairfax Modern Dentistry

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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.

ASHKAN DAVARY DOWLATABADY MD, DDS
Dentist (Oral and Maxillofacial Surgery)
11050 LEE HWY
FAIRFAX, VA 22030
Fairfax City (949) 338-8291
JAEWOONG JANG DMD
Dentist
11050 LEE HWY
FAIRFAX, VA 22030
Fairfax City (703) 520-6376

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 Fairfax Modern Dentistry, PC's NPI number?

The NPI number for Fairfax Modern Dentistry, PC is 1174011191. It was assigned to this organization in the NPPES registry on April 25, 2018.

Where is Fairfax Modern Dentistry, PC located?

Fairfax Modern Dentistry, PC is located at 11050 Lee Hwy, Fairfax, VA 22030. The listed phone number is (703) 520-6376.

What is Fairfax Modern Dentistry, PC'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 Fairfax Modern Dentistry, PC was last updated on August 5, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.