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MODARESI & AVIN DDS PLLC
NPI 1477160547
Dentist - General Practice in Chantilly, VA

Active since September 23, 2020
24805 PINEBROOK RD STE 112, CHANTILLY, VA 20152(571) 334-8209 Get Directions Write a Review

NPPES record last updated: September 23, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Modaresi & Avin Dds Pllc NPPES

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

MODARESI & AVIN DDS PLLC (NPI 1477160547) is a healthcare organization registered as a general practice in Chantilly, Virginia and active in the NPI registry since September 2020. The organization lists Mina Modaresi, Owner, as its authorized official.

NPPES Registry Identity

NPI1477160547
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameMODARESI & AVIN DDS PLLC
Location Address24805 PINEBROOK RD STE 112Chantilly, VA 20152-4127
Mailing Address24805 Pinebrook Rd Ste 112Chantilly, VA 20152-4127 · (571) 334-8209
Phone(571) 334-8209
Organization SubpartNo
Authorized OfficialMina ModaresiOwner · (571) 334-8209
Enumeration DateSeptember 23, 2020
NPPES CertifiedSeptember 23, 2020
✔ NPI 1477160547 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.
24805 PINEBROOK RD STE 112, Chantilly, VA 20152
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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

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 Modaresi & Avin Dds PLLC's NPI number?

The NPI number for Modaresi & Avin Dds PLLC is 1477160547. It was assigned to this organization in the NPPES registry on September 23, 2020.

Where is Modaresi & Avin Dds PLLC located?

Modaresi & Avin Dds PLLC is located at 24805 Pinebrook Rd Ste 112, Chantilly, VA 20152. The listed phone number is (571) 334-8209.

What is Modaresi & Avin Dds PLLC'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 Modaresi & Avin Dds PLLC was last updated on September 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.