OrganizationActive
Manassas Modern Dentistry PLLC
NPI 1114652286 · Dentist · Manassas, VA
Provider details
- NPI number
- 1114652286
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Tareq Salameh, Doctor/Owner(561) 827-1164
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
10620 Crestwood Dr Ste a
Manassas, VA 20109-4403
Phone: (703) 361-2911
Street-level locationGet directions
Mailing address
10620 Crestwood Dr Ste a
Manassas, VA 20109-4403
Other names (DBA / former)
- Doing business as
- Manassas Modern Dentistry PLLC
- Doing business as
- Manassas Modern Dentistry PLLC
Registry dates
- Enumerated
- 2022-07-21
- Last updated
- 2023-05-11
- Certified
- 2023-05-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.