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

Premier Dental Group PLLC

Organization Dental Anesthesiology · NPI 1063971281

Premier Dental Group PLLC is a Dental Anesthesiology in Manassas, Virginia. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

9420 Forestwood Ln Ste 201
Manassas, VA 20110-4758
Phone: (617) 943-8812
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X
Dental Anesthesiology Taxonomy 1223D0004X

Record details

NPI number1063971281
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Payam Amirsayafi — Owner · (617) 943-8812
Other names Lighthouse Pediatric Dental Team
NPI enumeratedMarch 18, 2019
Last updated in NPPESMarch 18, 2019
Mailing address9420 Forestwood Ln Ste 201, Manassas, VA 20110-4758

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