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

Tysons Modern Dentistry, PC

Organization General Practice Dentistry · NPI 1508512708

Tysons Modern Dentistry, PC is a General Practice Dentistry in Vienna, Virginia. Registered with an NPI since 2022.

In the registry since
2022
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

8393 Leesburg Pike
Vienna, VA 22182-2402
Phone: (703) 745-1797
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1508512708
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ali Shahrestani — Owner · (714) 845-8500
NPI enumeratedFebruary 25, 2022
Last updated in NPPESFebruary 25, 2022
Certification dateFebruary 25, 2022
Mailing addressPo Box 920050, Dallas, TX 75392-0050

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