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LEESBURG MODERN DENTISTRY, PC
NPI 1932837101
Dentist - General Practice in Leesburg, VA

Active since August 15, 2022
502 E MARKET ST, LEESBURG, VA 20176(571) 899-4713(571) 982-7616 Get Directions Write a Review

NPPES record last updated: August 15, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Leesburg Modern Dentistry, Pc NPPES

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

LEESBURG MODERN DENTISTRY, PC (NPI 1932837101), doing business as Leesburg Modern Dentistry, is a healthcare organization registered as a general practice in Leesburg, Virginia and active in the NPI registry since August 2022. The organization lists Ali Shahrestani, Owner Doctor, as its authorized official.

NPPES Registry Identity

NPI1932837101
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameLEESBURG MODERN DENTISTRY, PC
Location Address502 E MARKET STLeesburg, VA 20176-4112
Mailing AddressPo Box 920050Dallas, TX 75392-0050 · (714) 845-8890 · Fax (303) 952-0892
Phone(571) 899-4713
Fax(571) 982-7616
Organization SubpartNo
Authorized OfficialAli ShahrestaniOwner Doctor · (571) 899-4713
Enumeration DateAugust 15, 2022
NPPES CertifiedAugust 15, 2022
✔ NPI 1932837101 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.
502 E MARKET ST, Leesburg, VA 20176
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Other Names 1

Doing Business AsLeesburg 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.

SHAHAD AMOORI
Dentist (General Practice)
502 E MARKET ST
LEESBURG, VA 20176
Loudoun County (571) 899-4713
DR. SEOKHOON LEE DDS
Dentist (General Practice)
502 E MARKET ST
LEESBURG, VA 20176
Loudoun County (571) 899-4713

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 Leesburg Modern Dentistry, PC's NPI number?

The NPI number for Leesburg Modern Dentistry, PC is 1932837101. It was assigned to this organization in the NPPES registry on August 15, 2022. The provider is doing business as Leesburg Modern Dentistry.

Where is Leesburg Modern Dentistry, PC located?

Leesburg Modern Dentistry, PC is located at 502 E Market St, Leesburg, VA 20176. The listed phone number is (571) 899-4713.

What is Leesburg 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 Leesburg Modern Dentistry, PC was last updated on August 15, 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.