Premier Dental Group Pllc is a Dental Anesthesiology Clinic in Manassas, Virginia. It is located at 9420 Forestwood Ln Ste 201, Manassas, VA and its contact number is 617-943-8812. The authorized person for Premier Dental Group Pllc is Dr. Payam Amirsayafi
who is Owner of the clinic and their contact number is 617-943-8812.
Premier Dental Group Pllc Clinic dentists have successfully completed an accredited postdoctoral anesthesiology residency training program of two or more years duration, in accord with Commission on Dental AccreditationÃs Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology.
Complete Clinic Profile:
Premier Dental Group Pllc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Premier Dental Group Pllc |
| Specialization: | Dental Anesthesiology |
| Clinic Address: | 9420 Forestwood Ln Ste 201, Manassas,
Virginia, 20110-4758 |
| Phone: | 617-943-8812 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Payam Amirsayafi |
| Position: | Owner |
| Contact Number: | 617-943-8812 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Premier Dental Group Pllc clinic are as mentioned below.
| NPI Number: | 1063971281 |
| NPI Enumeration Date: | 18 Mar, 2019 |
| NPI Last Update On: | 18 Mar, 2019 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Premier Dental Group Pllc are as mentioned below.
| Specialization | License Number | State | Status | |
| Pediatric Dentistry | | | Primary | |
| Dentist Anesthesiologist | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1881968204 | Medicaid | Virginia | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Premier Dental Group Pllc
9420 Forestwood Ln Ste 201,
Manassas, Virginia |
| Zip: | 20110-4758 |
| Phone Number: | -- |
Patients can reach Premier Dental Group Pllc at
9420 Forestwood Ln Ste 201, Manassas, Virginia or can
call to book an appointment on 617-943-8812.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.