Dentists of Sudley, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DENTISTS OF SUDLEY, PC

Doing business as

Dentists of Sudley

Practice address

8039 Sudley Rd
Manassas, VA 20109-8001

Phone

(703) 672-3617

Fax

(703) 687-9836

NPI assigned

Oct 2, 2025

Last updated

Oct 2, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Minh B Pham, DDS

Title

Owner

Phone

(703) 672-3617

Specialties & licenses 1

Addresses

Other names 1

• Dentists of Sudley Doing business as

Locations

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

{
    "created_epoch": "1759363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759363200000",
    "number": "1770457772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 660041",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752660041",
            "telephone_number": "714-845-8890",
            "fax_number": "303-952-0892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8039 SUDLEY RD",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201098001",
            "telephone_number": "703-672-3617",
            "fax_number": "703-687-9836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTISTS OF SUDLEY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-02",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "MINH",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-672-3617",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dentists of Sudley",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dental Excellence, PLLC
• Dental House
• Dental One Associates (Manassas) P.C.
• Dental Professionals of Virginia, P.C (Reflection Dental Manassas)
• Dental Professionals of Virginia, P.C (Dental Care of Manassas)
• Melat Dereje
• Parimal C Desai, MD
• Jemima M Desir Telus, FNP
• Matthew Scott Detar, D.D.S.
• Genevieve Devera, DDS

• General Practice Dentistry in Manassas, VA
• Providers in Manassas, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2025; 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.