South Riding Modern Dentistry, PC
Dentist in Chantilly, VA. Organization (NPI-2).
NPI number1982178620
StatusActive
Last updated in NPPESJan 16, 2019
Details
- NPI
- 1982178620
- Entity type
- Organization (NPI-2)
- Legal business name
- South Riding Modern Dentistry, PC
- Organization subpart
- No
- Enumeration date
- Jan 16, 2019
- Last updated
- Jan 16, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | – | – | Yes |
Other names
- South Riding Modern Dentistry (Doing Business As)
Practice location
25421 Lizzio Center Dr.Suite 190
Chantilly, VA 20152
Phone 703-543-3724
Mailing address
17000 Red Hill AveIrvine, CA 92614-5626
Phone 714-845-8500 · Fax 303-952-0892
Authorized official
Alex R Sharifian
Owner/DDS
7035439724
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Dentist providers in Chantilly, VA
- Amal Ali, D.D.S.NPI 1558563254
- Mina Armanious, DDSNPI 1063070068
- Chantilly Modern Dentistry, PCNPI 1013405950
- Dental One Associates South Riding PCNPI 1265695712
- Diamond Dental CareNPI 1144586298
- Diem H. Nguyen, D.D.S, P.CNPI 1073785382
- Jeffrey Evans, DDSNPI 1578171633
- Nicole HongNPI 1154897627
- Jason Farr Favagehi DDS III PCNPI 1780736355
- Nikhil Kalra, DDSNPI 1295660629
All 22 Dentist providers in Chantilly · All 1,347 providers in Chantilly
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.