Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Fairfax Modern Dentistry, PC

Organization Dentist · NPI 1174011191

Fairfax Modern Dentistry, PC is a Dentist in Fairfax, Virginia. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11050 Lee Hwy
Fairfax, VA 22030-5014
Phone: (703) 520-6376
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1174011191
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ali Shahrestani — Owner/Dmd · (703) 520-6376
Other names Fairfax Modern Dentistry
NPI enumeratedApril 25, 2018
Last updated in NPPESAugust 5, 2022
Certification dateAugust 5, 2022
Mailing addressPo Box 920050, Dallas, TX 75392-0050

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