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.
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:
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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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.