OrganizationActive
Springfield Modern Dentistry, PC
NPI 1396467965 · General Practice Dentistry · Springfield, VA
Springfield Modern Dentistry, PC is a General Practice Dentistry organization in Springfield, VA (NPI 1396467965).
Provider details
- NPI number
- 1396467965
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Ali Shahrestani, Owner Doctor(571) 350-3556
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
8404 Old Keene Mill Rd
Springfield, VA 22152-2302
Phone: (571) 350-3556
Fax: (571) 290-4715
Street-level locationGet directions
Mailing address
Po Box 920050
Dallas, TX 75392-0050
Other names (DBA / former)
- Doing business as
- Springfield Modern Dentistry
Registry dates
- Enumerated
- 2022-09-12
- Last updated
- 2022-09-12
- Certified
- 2022-09-12
Frequently asked questions
- What is Springfield Modern Dentistry, PC's NPI number?
- Springfield Modern Dentistry, PC's National Provider Identifier (NPI) is 1396467965, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Springfield Modern Dentistry, PC?
- Springfield Modern Dentistry, PC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Springfield Modern Dentistry, PC located?
- Springfield Modern Dentistry, PC's practice location on file with NPPES is 8404 Old Keene Mill Rd, Springfield, VA 22152-2302.
- What is Springfield Modern Dentistry, PC's phone number?
- The practice phone number listed in the NPPES registry for Springfield Modern Dentistry, PC is (571) 350-3556.
- Who is the authorized official for Springfield Modern Dentistry, PC?
- The authorized official listed on Springfield Modern Dentistry, PC's NPPES record is Ali Shahrestani, Owner Doctor. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Springfield Modern Dentistry, PC's NPI active?
- Yes — Springfield Modern Dentistry, PC's NPI (1396467965) is active in the NPPES registry as of the last update on 2022-09-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.