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 enumeration date for this NPI number is 10/30/2012 and was last updated on 1/21/2021.
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.
This page was last updated on: 11/21/2025
NPI Synchronization or Removal
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