HERNDON MODERN DENTISTRY, PC (NPI# 1417587312) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417587312 |
| Entity Type | Organization |
| Organization Name | HERNDON MODERN DENTISTRY, PC |
| Practice Address |
2537 John Milton Dr. Reston VA 20171 |
| Mailing Address |
17000 Red Hill Ave Irvine CA 92614-5626 |
| Practice Telephone | 7032598477 |
| Enumeration Date | 2020-01-20 |
| Last Update Date | 2020-01-20 |
| Authorized Official Name | DR. ALEX R SHARIFIAN (OWNER/DDS) |
| Authorized Official Telephone | 7032598477 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| Other Name | Type Code |
|---|---|
| Herndon Modern Dentistry | Doing Business As Name - Organization |
| Street Address |
2537 JOHN MILTON DR. |
| City | RESTON |
| State | VA |
| Zip Code | 20171 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689196529 | Susan Ngatia | Occupational Therapist | 2978 Centerville Rd., Herndon, VA 20171 | 2017-07-12 |
| 1932634375 | Angelic Home Care,llc | Home Health | 13800 Coppermine Road, Suite 175, Herndon, VA 20171 | 2017-04-24 |
| 1952855348 | Attentive Home Care Inc | Registered Nurse | 13578 Cedar Run Ln, Herndon, VA 20171 | 2016-08-15 |
| 1336531391 | Daniela Maria Querubin Mesina | Physical Therapist | 2978 Centreville Rd, Herndon, VA 20171 | 2015-02-28 |
| 1740602291 | Herndon Dental Arts At Woodland Park, Pllc | Dentist | 12973 Highland Crossing Drive, Ste B, Herndon, VA 20171 | 2014-01-16 |
| 1295165801 | Grace Greenan | Counselor | 13600 Frying Pan Road, Herndon, VA 20171 | 2013-11-18 |
| 1356770390 | Eunjoo Lee | Behavioral Analyst | 12936 Cedar Glen Lane, Herndon, VA 20171 | 2013-11-08 |
| 1043539919 | Wesam Hassen Moustafa Hussein | Internal Medicine | 13326 Horsepen Woods Lane, Herndon, VA 20171 | 2010-05-18 |
| 1740516996 | Fadi Alhrashi | Dentist | 13609 Flying Squirrel Dr, Herndon, VA 20171 | 2009-10-22 |
| 1073847927 | Rosana Souza Cavalcante | Occupational Therapy Assistant | 2465 Centreville Rd # J17-715, Herndon, VA 20171 | 2009-09-24 |
| Find all providers in zip 20171 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942811906 | Christine Baek Mcandrew | Dentist | 1950 Roland Clarke Pl Ste 420, Reston, VA 20191-1414 | 2020-08-13 |
| 1346859717 | Arya Mazda Mansouri | Dentist | 1334 Dasher Ln, Reston, VA 20190-3940 | 2020-07-30 |
| 1003460718 | Ah Young Hong | Dentist | 1855 Saint Francis St Apt 406, Reston, VA 20190-6249 | 2019-07-31 |
| 1245724806 | Hala Elham Imam | Dentist | 1976 Crescent Park Dr, Reston, VA 20190-3288 | 2018-06-18 |
| 1386013746 | Ksheera Appachu | Dentist | 1855 Saint Francis St Apt 203, Reston, VA 20190-6248 | 2015-09-16 |
| 1558738013 | Julija Kondratyuk | Dentist | 11575 N Shore Dr Apt 1, Reston, VA 20190-4328 | 2015-08-31 |
| 1841677085 | Sepideh Badriahari | Dentist | 11654 Plaza America Dr, 637, Reston, VA 20190-4700 | 2015-04-27 |
| 1700214293 | Sonny Sunghun Kim | Dentist | 11876 Sunrise Valley Drive, 101, Reston, VA 20191 | 2013-10-22 |
| 1205113297 | Joy Jang | Dentist | 1984 Isaac Newton Square W, Suite 100, Reston, VA 20190-5038 | 2011-11-04 |
| 1477708675 | Anthony M Moawad | Dentist | 1886 Metro Center Dr Ste 600, Reston, VA 20190-5299 | 2008-12-02 |
| Find all providers in RESTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.