Nickie Rose Bastani, DDS is a pediatric dentistry dentist in Fairfax, VA. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. Nickie Rose Bastani, DDS NPI is 1801140892. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
3700 JOSEPH SIEWICK DR STE 104
FAIRFAX, VA
ZIP 22033-737
Phone: (703) 620-9122
The NPI 1801140892 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).
The enumeration date for this NPI number is 10/30/2012 and was last updated on 1/21/2021.