Mina Modaresi, DDS

General Practice Dentistry · Sterling, VA

Individual Active NPI

NPI number 1073626818

Practice location

45985 Regal PLZ
Suite 160
Sterling, VA 20165-6144
Phone
(703) 433-1122
Fax
(703) 433-0907

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NPI record

NPI
1073626818
Entity type
Individual (Type 1)
Enumeration date
August 16, 2006
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 0401410066 VA

About Dr. Modaresi

Mina Modaresi, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 45985 Regal PLZ, Suite 160, Sterling, VA 20165-6144. The NPI number 1073626818 was assigned on August 16, 2006 and the record was last updated on July 8, 2007.

Dr. Modaresi lists a license in the registry: #0401410066 (VA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mina Modaresi, DDS?

The NPI number is 1073626818.

What is the phone number of Dr. Modaresi?

The phone number listed for the practice location is (703) 433-1122.

Where is Dr. Modaresi located?

45985 Regal PLZ, Suite 160, Sterling, VA 20165-6144.

What is the taxonomy code for Dr. Modaresi?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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