Nickie Rose Bastani is a Fairfax, Virginia based Dentist who is specialized in
General Practice Dentistry. She may accept the Medicare-approved amount. Patients may be billed for more than the Medicare deductible and coinsurance. Her current practice location is
3700 Joseph Siewick Dr Ste 104, Fairfax. Patients can reach her at
703-620-9122.
Nickie Rose Bastani is the primary dental care provider for patients of all ages. She is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Nickie Rose Bastani speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Nickie Rose Bastani |
| Specialization: | Dentist |
| Gender: | Female |
| Credentials: | DDS |
| Accepts Medicare Assignment: | May Accept |
| Practice Address: | 3700 Joseph Siewick Dr Ste 104, Fairfax, Virginia, 22033-1737 |
| Phone: | 703-620-9122 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 4284926395 |
| Enrollment ID: | I20160711001970 |
| NPI Number: | 1801140892 |
| NPI Enumeration Date: | 30 Oct, 2012 |
| NPI Last Update On: | 21 Jan, 2021 |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1363 Tate Modern Lane, Great Falls, Virginia |
| Zip: | 22066 |
| Phone Number: | 571-426-8274 |
Patients can reach Nickie Rose Bastani at
3700 Joseph Siewick Dr Ste 104, Fairfax, Virginia or can
call to book an appointment on 703-620-9122.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.