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SPRINGFIELD MODERN DENTISTRY, PC
NPI 1396467965
Dentist - General Practice in Springfield, VA

Active since September 12, 2022
8404 OLD KEENE MILL RD, SPRINGFIELD, VA 22152(571) 350-3556(571) 290-4715 Get Directions Write a Review

NPPES record last updated: September 12, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Springfield Modern Dentistry, Pc NPPES

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

SPRINGFIELD MODERN DENTISTRY, PC (NPI 1396467965), doing business as Springfield Modern Dentistry, is a healthcare organization registered as a general practice in Springfield, Virginia and active in the NPI registry since September 2022. The organization lists Ali Shahrestani, Owner Doctor, as its authorized official.

NPPES Registry Identity

NPI1396467965
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSPRINGFIELD MODERN DENTISTRY, PC
Location Address8404 OLD KEENE MILL RDSpringfield, VA 22152-2302
Mailing AddressPo Box 920050Dallas, TX 75392-0050 · (714) 845-8890 · Fax (303) 952-0892
Phone(571) 350-3556
Fax(571) 290-4715
Organization SubpartNo
Authorized OfficialAli ShahrestaniOwner Doctor · (571) 350-3556
Enumeration DateSeptember 12, 2022
NPPES CertifiedSeptember 12, 2022
✔ NPI 1396467965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
8404 OLD KEENE MILL RD, Springfield, VA 22152
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Other Names 1

Doing Business AsSpringfield 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.

DR. DUY-KHA TRAN THAI DMD
Dentist
8404 OLD KEENE MILL RD
SPRINGFIELD, VA 22152
Fairfax County (571) 350-3556
MUSTAFA ZAEEAN DDS
Dentist
8404 OLD KEENE MILL RD
SPRINGFIELD, VA 22152
Fairfax County (571) 350-3556

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 Springfield Modern Dentistry, PC's NPI number?

The NPI number for Springfield Modern Dentistry, PC is 1396467965. It was assigned to this organization in the NPPES registry on September 12, 2022. The provider is doing business as Springfield Modern Dentistry.

Where is Springfield Modern Dentistry, PC located?

Springfield Modern Dentistry, PC is located at 8404 Old Keene Mill Rd, Springfield, VA 22152. The listed phone number is (571) 350-3556.

What is Springfield Modern Dentistry, PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Springfield Modern Dentistry, PC was last updated on September 12, 2022. 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.