SOUTH RIDING MODERN DENTISTRY, PC


Address: 25421 Lizzio Center Dr., Suite 190, Chantilly, VA 20152
Phone: 7035433724

SOUTH RIDING MODERN DENTISTRY, PC (NPI# 1982178620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1982178620
Entity Type Organization
Organization Name SOUTH RIDING MODERN DENTISTRY, PC
Practice Address 25421 Lizzio Center Dr.
Suite 190
Chantilly
VA 20152
Mailing Address 17000 Red Hill Ave
Irvine
CA 92614-5626
Practice Telephone 7035433724
Mailing Telephone 7148458500
Mailing Fax Number 3039520892
Enumeration Date 2019-01-16
Last Update Date 2019-01-16
Authorized Official Name DR. ALEX R SHARIFIAN (OWNER/DDS)
Authorized Official Telephone 7035439724
Authorized Official Credential DDS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist Dental Providers

Other Provider/Organization Names

Other Name Type Code
South Riding Modern Dentistry Doing Business As Name - Organization

Office Location

Street Address 25421 LIZZIO CENTER DR.
SUITE 190
City CHANTILLY
State VA
Zip Code 20152

Providers in the same zip code

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
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
1528101805 Kamran Nawaz Raja Dentist 24805 Pinebrook Rd Ste 318, Chantilly, VA 20152 2007-02-15
Find all providers in zip 20152

Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1477165561 Amina Mekic Dentist 14337 Newbrook Dr, Chantilly, VA 20151-4258 2020-08-19
1578171633 Jeffrey Evans Dentist 4501 Daly Dr Ste 310, Chantilly, VA 20151-3707 2020-07-15
1063070068 Mina Armanious Dentist 25619 Pleasant Valley Rd, Chantilly, VA 20152-6129 2019-06-04
1154897627 Nicole Hong Dentist 25273 Nesting Sq, Chantilly, VA 20152 2018-10-22
1013405950 Chantilly Modern Dentistry, PC Dentist 14337 Newbrook Dr., Suite 200, Chantilly, VA 20151 2018-04-26
1760916993 Mehdi Mustafa Hasan Dentist 4090 Lafayette Center Dr Ste F, Chantilly, VA 20151-1244 2017-04-13
1205287984 Alicia Yim Dentist 25779 Anderby Ln, Chantilly, VA 20152-1937 2016-06-24
1437457371 Jyothi Koneru Dentist 14165 Robert Paris Ct Ste A, Chantilly, VA 20151-4243 2011-03-02
1700114741 Hiep D Pham Dentist 13870 Rembrandt Way, Chantilly, VA 20151-3256 2009-12-03
1356534325 Mike Chang-gu Yeo Dentist 13916 Metrotech Dr, Chantilly, VA 20151-3238 2007-08-23
Find all providers in CHANTILLY

Competitor

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City CHANTILLY
Zip Code 20152

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Dataset Information

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.

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