Lexington Modern Dentistry, PC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

LEXINGTON MODERN DENTISTRY, PC

Doing business as

Lexington Modern Dentistry

Practice address

808 Highway 378 Ste C
Lexington, SC 29072-8379

Phone

(803) 339-1021

NPI assigned

Oct 24, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Ali Shahrestani, DDS

Title

Owner/DDS

Phone

(803) 339-1021

Specialties & licenses 1

Addresses

Other names 1

• Lexington Modern Dentistry Doing business as

Locations

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

{
    "created_epoch": "1540339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644278400000",
    "number": "1891262234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 920050",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753920050",
            "telephone_number": "714-845-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 HIGHWAY 378 STE C",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290728379",
            "telephone_number": "803-339-1021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEXINGTON MODERN DENTISTRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-24",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A",
        "authorized_official_last_name": "SHAHRESTANI",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "OWNER/DDS",
        "authorized_official_telephone_number": "803-339-1021",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lexington Modern Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lexington Modern Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lexington Health Inc (LMC Lexington ASC)
• Lexington Health Inc (Lexington Pediatrics)
• Lexington Health Inc (Sandhills Family Medicine)
• Lexington Health Inc (Lexington Podiatry)
• Lexington Health Inc (Internal Medicine Associates)
• Lexington Pharmacy LLC (Lexington Pharmacy)
• Lexington Psychiatry LLC
• Lexington School District One
• Lexington Spinal Care
• Lexmed, Inc (LMC Extended Care)

• Dentist in Lexington, SC
• Providers in Lexington, SC by specialty
• Dentist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; 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.