Organization Active NPI

Manassas Dental and Cosmetics DMD PLLC

  • General Practice Dentistry
  • Manassas, VA
National Provider Identifier
1497602452
Registry record updated Mar 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MANASSAS DENTAL AND COSMETICS DMD PLLC
Practice address
9825 Liberia Ave
Manassas, VA 20110-6212
Phone
(571) 293-8729
NPI assigned
Mar 10, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mazin Alayssami, DMDNPI 1598822371
Title
Owner
Phone
(571) 464-2655

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

9825 Liberia Ave
Manassas, VA 20110-6212

Mailing address

9825 Liberia Ave
Manassas, VA 20110-6212

National Provider Directory

National Provider Directory

Locations

9825 Liberia Ave
Manassas, VA 20110
Phone (571) 293-8729

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1773100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773100800000",
    "number": "1497602452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9825 LIBERIA AVE",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201106212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9825 LIBERIA AVE",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201106212",
            "telephone_number": "571-293-8729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANASSAS DENTAL AND COSMETICS DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-10",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A",
        "authorized_official_last_name": "ALAYSSAMI",
        "authorized_official_first_name": "MAZIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "571-464-2655",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manassas, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.