OrganizationActive
Premier Dental Group PLLC
NPI 1063971281 · Pediatric Dentistry · Manassas, VA
Premier Dental Group PLLC is a Pediatric Dentistry organization in Manassas, VA (NPI 1063971281).
Provider details
- NPI number
- 1063971281
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Payam Amirsayafi, Owner(617) 943-8812
Specialties & taxonomies
Dental Providers
- Dental Anesthesiology1223D0004X
Dental Providers
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
9420 Forestwood Ln Ste 201
Manassas, VA 20110-4758
Phone: (617) 943-8812
Street-level locationGet directions
Mailing address
9420 Forestwood Ln Ste 201
Manassas, VA 20110-4758
Other names (DBA / former)
- Doing business as
- Lighthouse Pediatric Dental Team
Registry dates
- Enumerated
- 2019-03-18
- Last updated
- 2019-03-18
Frequently asked questions
- What is Premier Dental Group PLLC's NPI number?
- Premier Dental Group PLLC's National Provider Identifier (NPI) is 1063971281, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Premier Dental Group PLLC?
- Premier Dental Group PLLC is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Premier Dental Group PLLC located?
- Premier Dental Group PLLC's practice location on file with NPPES is 9420 Forestwood Ln Ste 201, Manassas, VA 20110-4758.
- What is Premier Dental Group PLLC's phone number?
- The practice phone number listed in the NPPES registry for Premier Dental Group PLLC is (617) 943-8812.
- Who is the authorized official for Premier Dental Group PLLC?
- The authorized official listed on Premier Dental Group PLLC's NPPES record is Payam Amirsayafi, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Premier Dental Group PLLC's NPI active?
- Yes — Premier Dental Group PLLC's NPI (1063971281) is active in the NPPES registry as of the last update on 2019-03-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.