Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1679739312 Individual Practitioner Male Practitioner

Dr. Osama Shoueb Modjadidi , DMD

Dentist - General Practice • Chesapeake, VA

Professional Overview & Biography Verified Profile Summary

Dr. Osama Modjadidi, DMD is a registered healthcare professional specializing in Dentist - General Practice in Chesapeake, VA. Practice services are available at 113 GAINSBOROUGH SQ under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

113 Gainsborough Sq
Suite 101

Chesapeake, VA 233201713

Telephone 7575485619
Fax 7575486930
Associated Practice Facility / Clinic
🏢 Chesapeake Internists Ltd Facility NPI 1134236037

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Chesapeake, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.6 Yrs
Regional Practice Density
62 Specialists

Practicing in Chesapeake, VA (3535 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License VA 10783

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners
NPI 1063688117

Doctor of Medicine (M.D.)

NPI 1225093529

Doctor of Osteopathic Medicine (D.O.)

NPI 1265533046

Doctor of Medicine (M.D.)

Dr. Brian Buchberg , MD

Colon & Rectal Surgery

NPI 1326222779

Doctor of Medicine (M.D.)

NPI 1467499376

Doctor of Medicine (M.D.)

Dr. David West , MD

Internal Medicine

NPI 1588669980

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 10, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location October 10, 2012

Registered at 113 GAINSBOROUGH SQ, SUITE 101, CHESAPEAKE, VA 233201713 (Tel: 7575485619)

📍
Updated Business Mailing Address October 10, 2012

Registered at 113 GAINSBOROUGH SQ, SUITE 101, CHESAPEAKE, VA 233201713 (Tel: 7575485619)

👤
Provider Name / Credentials Updated October 10, 2012

Recorded as OSAMA MODJADIDI, D.M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 10, 2012

Dentist (License #10783 in VA)

🟢
Initial NPI Registration & Enumeration August 01, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1679739312
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 01, 2008
Last Update: October 10, 2012
Sole Proprietor: Yes

Mailing Address

113 Gainsborough Sq, Suite 101

Chesapeake, VA 233201713

Phone: 7575485619

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.