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

Manassas Modern Dentistry PLLC

Organization Dentist · NPI 1114652286

Manassas Modern Dentistry PLLC is a Dentist in Manassas, Virginia. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10620 Crestwood Dr Ste A
Manassas, VA 20109-4403
Phone: (703) 361-2911
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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 number1114652286
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tareq Salameh — Doctor/Owner · (561) 827-1164
Other names Manassas Modern Dentistry Pllc; Manassas Modern Dentistry Pllc
NPI enumeratedJuly 21, 2022
Last updated in NPPESMay 11, 2023
Certification dateMay 11, 2023
Mailing address10620 Crestwood Dr Ste A, Manassas, VA 20109-4403

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