Fairfax Modern Dentistry, PC
NPI 1174011191ActiveOrganization· Dentist· Fairfax, VA
Dentist in Fairfax, Virginia, registered in NPPES in April 2018. The authorized official on file is Ali Shahrestani, DMD, Owner/Dmd.
Overview
| NPI | 1174011191 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 25, 2018 |
| Last updated in NPPES | Aug 5, 2022 |
| Certified by provider | Aug 5, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other dentists in Fairfax
- 1003270612
- 1033408307
- 1164749925
- 1235200999
- 1235296047
- 1285001008
- 1285180638
- 1356533640
- 1376271049
- 1417133851
- 1417339243
- 1427378314