Manassas Modern Dentistry Pllc

LBN: Manassas Modern Dentistry Pllc
Manassas Modern Dentistry Pllc is an health care organization with primary practice located at 10620 Crestwood Dr Ste A , Manassas VA 20109-4403. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Manassas Modern Dentistry Pllc can be contacted via phone (703) 361-2911, or through Salameh, Tareq via phone (561) 827-1164.

Contact Information

Primary practice address
10620 Crestwood Dr Ste A Manassas VA 20109-4403
Phone: (703) 361-2911
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Salameh, Tareq Doctor of Dental Surgery (DDS)
Phone: (561) 827-1164

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X

Profile Details

NPI number 1114652286
LBN Legal business name Manassas Modern Dentistry Pllc
DBA Doing business as Manassas Modern Dentistry Pllc
Authorized official Salameh, Tareq Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 21st, 2022
Last updated May 11th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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