Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICKIE ROSE BASTANI, DDS
ActiveNICKIE ROSE BASTANI, DDS is a Pediatric Dentistry healthcare provider located in FAIRFAX, Virginia. NPI 1801140892 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · FAIRFAX, VA
Registration Details
- NPI Number
- 1801140892
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 30, 2012 (13.801800510997 yrs)
- Last Updated
- Jan 21, 2021
- Licenses
-
2901020839 (MI)2901020839 (MI)
Practice Information
- Address
-
3700 JOSEPH SIEWICK DR STE 104FAIRFAX, VA, 220331737Browse VA providers · Browse ZIP 22033
- Phone
- 7036209122
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
- Additional Specialty
- Pediatric Dentistry
Other Pediatric Dentistry Providers in FAIRFAX, VA
| Name | Credential | NPI |
|---|---|---|
| JOHN HAN | D.D.S. | 1780781351 |
| DR. FARANAK GHALEHBAGHI | DDS | 1821308115 |
| SHOHREH SHARIF | D.D.S. P.C. | 1144523218 |
| BUSHRA A BHATTI | DMD, MSD | 1538448683 |
| HEIDI OSTRENG VATANKA | DDS | 1043585995 |
| DR. JAZMIN TYSHEEMAH FLOYD | DMD | 1780950287 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.