OrganizationActive
Fairfax Modern Dentistry, PC
NPI 1174011191 · Dentist · Fairfax, VA
Fairfax Modern Dentistry, PC is a Dentist organization in Fairfax, VA (NPI 1174011191).
Provider details
- NPI number
- 1174011191
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Ali Shahrestani, Owner/Dmd(703) 520-6376
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
11050 Lee Hwy
Fairfax, VA 22030-5014
Phone: (703) 520-6376
Street-level locationGet directions
Mailing address
Po Box 920050
Dallas, TX 75392-0050
Other names (DBA / former)
- Doing business as
- Fairfax Modern Dentistry
Registry dates
- Enumerated
- 2018-04-25
- Last updated
- 2022-08-05
- Certified
- 2022-08-05
Frequently asked questions
- What is Fairfax Modern Dentistry, PC's NPI number?
- Fairfax Modern Dentistry, PC's National Provider Identifier (NPI) is 1174011191, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fairfax Modern Dentistry, PC?
- Fairfax Modern Dentistry, PC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Fairfax Modern Dentistry, PC located?
- Fairfax Modern Dentistry, PC's practice location on file with NPPES is 11050 Lee Hwy, Fairfax, VA 22030-5014.
- What is Fairfax Modern Dentistry, PC's phone number?
- The practice phone number listed in the NPPES registry for Fairfax Modern Dentistry, PC is (703) 520-6376.
- Who is the authorized official for Fairfax Modern Dentistry, PC?
- The authorized official listed on Fairfax Modern Dentistry, PC's NPPES record is Ali Shahrestani, Owner/Dmd. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fairfax Modern Dentistry, PC's NPI active?
- Yes — Fairfax Modern Dentistry, PC's NPI (1174011191) is active in the NPPES registry as of the last update on 2022-08-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.