1. Home
  2. Directory
  3. Virginia
  4. Vienna
  5. Dentist
  6. NPI Profile

TYSONS MODERN DENTISTRY, PC
NPI 1508512708
Dentist - General Practice in Vienna, VA

Active since February 25, 2022
8393 LEESBURG PIKE, VIENNA, VA 22182(703) 745-1797 Get Directions Write a Review

NPPES record last updated: February 25, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tysons Modern Dentistry, Pc NPPES

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

TYSONS MODERN DENTISTRY, PC (NPI 1508512708) is a healthcare organization registered as a general practice in Vienna, Virginia and active in the NPI registry since February 2022. The organization lists Ali Shahrestani, Owner, as its authorized official.

NPPES Registry Identity

NPI1508512708
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameTYSONS MODERN DENTISTRY, PC
Location Address8393 LEESBURG PIKEVienna, VA 22182-2402
Mailing AddressPo Box 920050Dallas, TX 75392-0050
Phone(703) 745-1797
Organization SubpartNo
Authorized OfficialAli ShahrestaniOwner · (714) 845-8500
Enumeration DateFebruary 25, 2022
NPPES CertifiedFebruary 25, 2022
✔ NPI 1508512708 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.
8393 LEESBURG PIKE, Vienna, VA 22182
Open in Google Maps ↗

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES

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

SHAINA RACHEL WASSER DDS
Dentist (General Practice)
8393 LEESBURG PIKE
VIENNA, VA 22182
Fairfax County (703) 745-1797

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 Tysons Modern Dentistry, PC's NPI number?

The NPI number for Tysons Modern Dentistry, PC is 1508512708. It was assigned to this organization in the NPPES registry on February 25, 2022.

Where is Tysons Modern Dentistry, PC located?

Tysons Modern Dentistry, PC is located at 8393 Leesburg Pike, Vienna, VA 22182. The listed phone number is (703) 745-1797.

What is Tysons Modern Dentistry, PC's specialty?

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

What insurance does Tysons Modern Dentistry, PC accept?

Health plans from UnitedHealthcare list Tysons Modern Dentistry, PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tysons Modern Dentistry, PC was last updated on February 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.