MODARESI & AVIN DDS PLLC (NPI# 1477160547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477160547 |
| Entity Type | Organization |
| Organization Name | MODARESI & AVIN DDS PLLC |
| Practice Address |
24805 Pinebrook Rd Ste 112 Chantilly VA 20152-4127 |
| Practice Telephone | 5713348209 |
| Mailing Telephone | 5713348209 |
| Enumeration Date | 2020-09-23 |
| Last Update Date | 2020-09-23 |
| Authorized Official Name | DR. MINA MODARESI (OWNER) |
| Authorized Official Telephone | 5713348209 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Street Address |
24805 PINEBROOK RD STE 112 |
| City | CHANTILLY |
| State | VA |
| Zip Code | 20152-4127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528669751 | Joy Chirnside Mclaughlin | Physical Therapist | 26097 Iverson Drive, Chantilly, VA 20152 | 2020-11-04 |
| 1972132090 | Alissa S Rexo | Specialist | 25251 Beach Place, Chantilly, VA 20152 | 2020-04-02 |
| 1982178620 | South Riding Modern Dentistry, PC | Dentist | 25421 Lizzio Center Dr., Suite 190, Chantilly, VA 20152 | 2019-01-16 |
| 1154897627 | Nicole Hong | Dentist | 25273 Nesting Sq, Chantilly, VA 20152 | 2018-10-22 |
| 1437586369 | Chiron Physical Therapy LLC | Physical Therapist | 48130 Amberwood Plaza, Suite 100, South Riding, VA 20152 | 2013-10-10 |
| 1376772178 | Gloria Seon-young Kim | Dentist | 24805 Pinebrook Rd # 311, Chantilly, VA 20152 | 2009-07-14 |
| 1992955777 | Sohaib S. Elsayed | Family Medicine | 25055 Riding Plz Ste 220, South Riding, VA 20152 | 2008-09-29 |
| 1538328067 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 24795 Pinebrook Rd, South Riding, VA 20152 | 2008-06-09 |
| 1790970556 | Irfan Galaria | Plastic Surgery | 24805 Pinebrook Road, Suite #154, Chantilly, VA 20152 | 2007-09-13 |
| 1316150881 | Dina Gottesman | Pediatrics | 25055 Riding Plaza, Suite 150, South Riding, VA 20152 | 2007-05-08 |
| Find all providers in zip 20152 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689296485 | Fizza Gull | Dentist | 44151 Eastgate View Dr, Chantilly, VA 20152-1338 | 2020-05-14 |
| 1982225215 | Smile Daily LLC | Dentist | 4229 Lafayette Center Dr Ste 1125b-2, Chantilly, VA 20151-1261 | 2020-04-28 |
| 1801442991 | Ivan Lopez Sabarre | Dentist | 4080 Lafayette Center Dr Ste 160-b, Chantilly, VA 20151-1247 | 2019-08-14 |
| 1871056689 | Chantilly Dental Arts Center Pllc | Dentist | 13655 Lee Jackson Memorial Hwy, Chantilly, VA 20151-3568 | 2019-04-09 |
| 1700212511 | Grace Dental of Virginia, LLC | Dentist | 4530 Walney Rd, Suite 102, Chantilly, VA 20151-2284 | 2013-09-25 |
| 1417224056 | Neibauer Dental Care, PC | Dentist | 25401 Eastern Marketplace Plz Ste 165, Chantilly, VA 20152-5783 | 2011-11-28 |
| 1801193982 | Jennifer Pham | Dentist | 42550 Stires Dr, Chantilly, VA 20152-6655 | 2011-02-25 |
| 1235436908 | Trusmiles Dental, Plc | Dentist | 4501 Daly Dr Ste 105, Chantilly, VA 20151-3707 | 2011-02-16 |
| 1982835641 | Subha C Yerabollu | Dentist | 24805 Pinebrook Rd # 316, Chantilly, VA 20152-4126 | 2009-07-29 |
| 1376772178 | Gloria Seon-young Kim | Dentist | 24805 Pinebrook Rd # 311, Chantilly, VA 20152 | 2009-07-14 |
| Find all providers in CHANTILLY | ||||
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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.