MINA MODARESI DDS PC (NPI# 1851675185) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851675185 |
| Entity Type | Organization |
| Organization Name | MINA MODARESI DDS PC |
| Other Organization Name | REGAL DENTAL CARE |
| Practice Address |
45985 Regal Plz Suite 160 Sterling VA 20165-6144 |
| Practice Telephone | 7034331122 |
| Practice Fax Number | 7034330907 |
| Mailing Telephone | 7034331122 |
| Mailing Fax Number | 7034330907 |
| Enumeration Date | 2011-10-05 |
| Last Update Date | 2011-10-05 |
| Authorized Official Name | DR. MINA MODARESI (PRESIDENT) |
| Authorized Official Telephone | 7034331122 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 0401410066 | VA | Dental Providers |
| Other Name | Type Code |
|---|---|
| Regal Dental Care | Doing Business As Name - Organization |
| Street Address |
45985 REGAL PLZ SUITE 160 |
| City | STERLING |
| State | VA |
| Zip Code | 20165-6144 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073626818 | Mina Modaresi | Dentist | 45985 Regal Plz, Suite 160, Sterling, VA 20165-6144 | 2006-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578042073 | Potomac Speech, LLC | Clinic/Center | 20657 Shoal Place, Sterling, VA 20165 | 2018-08-07 |
| 1386138600 | Jennifer M Bennett | Specialist | 46691 Cavendish Sq, Sterling, VA 20165 | 2018-06-20 |
| 1689163271 | Horizon Healthcare Professionals, LLC | Registered Nurse | 6 Pidgeon Hill Dr Ste 309, Sterling, VA 20165 | 2018-05-09 |
| 1336668573 | Jennifer Beatriz Henriquez | Student in an Organized Health Care Education/Training Program | 88 Bickel Ct, Sterling, VA 20165 | 2017-09-19 |
| 1134648413 | Alannah Angels Care, LLC | Home Health | 47672 Comer Sq, Sterling, VA 20165 | 2017-09-18 |
| 1215472709 | Hiba Aljumaah | Non-emergency Medical Transport (VAN) | 20829 Miranda Falls Sq, Sterling, VA 20165 | 2016-12-20 |
| 1629465299 | The Key Center of Florida | Health Maintenance Organization | 21155 Whitfield Pl 206, Sterling, VA 20165 | 2015-04-22 |
| 1740679265 | Shahla Zamani | Pharmacist | 46380 Monocacy Square, Potomac Falls, VA 20165 | 2015-01-21 |
| 1598006785 | Jeanine Marie Burke | Physical Therapist | 2 Pidgeon Hill Dr Ste 350, Sterling, VA 20165 | 2013-03-13 |
| 1134464126 | Faisal Hasan | Specialist | 46770 Willowood Place, Potomac Falls, VA 20165 | 2012-12-03 |
| Find all providers in zip 20165 | ||||
| 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 |
|---|---|---|---|---|
| 1114569837 | Kopal Agarwal | Dentist | 21525 Ridgetop Cir Ste 220, Sterling, VA 20166-6577 | 2019-10-14 |
| 1215412606 | Ian T Lam | Dentist | 23244 Meadowvale Glen Ct, Sterling, VA 20166-2148 | 2018-10-01 |
| 1114403821 | Shayan Ali Khan | Dentist | 46400 Benedict Dr Ste 109, Sterling, VA 20164-6605 | 2018-07-16 |
| 1992215016 | Leah Byars | Dentist | 21059 Danbury Ct, Sterling, VA 20164-2432 | 2017-10-03 |
| 1871020891 | Alex Lord Nye | Dentist | 4312 E Lincolnway Ste A, Sterling, IL 61081-9793 | 2017-05-22 |
| 1932633948 | Sterling Smiles Dental, PC | Dentist | 1404 S 3rd Ave, Sterling, CO 80751-4650 | 2017-04-17 |
| 1255882650 | Carly Schrade | Dentist | 18060 Iris Dr, Sterling, CO 80751-9058 | 2016-10-20 |
| 1851725899 | Uttamkumar R Patel | Dentist | 4312 E Lincolnway, Suite A, Sterling, IL 61081-9793 | 2013-08-27 |
| 1902243116 | Tarek Elbadawy | Dentist | 46175 Westlake Dr Ste 130, Sterling, VA 20165-5873 | 2013-05-29 |
| 1205064987 | Kevin Michael Bunin | Dentist | 14 Pidgeon Hill Dr Ste 200, Sterling, VA 20165-6133 | 2009-07-01 |
| Find all providers in STERLING | ||||
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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.