Provider Demographics
NPI:1699349290
Name:NASSIR A BAREKZI DDS PLLC
Entity type:Organization
Organization Name:NASSIR A BAREKZI DDS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:NASSIR
Authorized Official - Middle Name:AHMAD
Authorized Official - Last Name:BAREKZI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:804-300-2000
Mailing Address - Street 1:44894 TIVERTON SQ
Mailing Address - Street 2:
Mailing Address - City:ASHBURN
Mailing Address - State:VA
Mailing Address - Zip Code:20147-5985
Mailing Address - Country:US
Mailing Address - Phone:804-300-2000
Mailing Address - Fax:
Practice Address - Street 1:17340 PICKWICK DR STE 100
Practice Address - Street 2:
Practice Address - City:PURCELLVILLE
Practice Address - State:VA
Practice Address - Zip Code:20132-6181
Practice Address - Country:US
Practice Address - Phone:804-300-2000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-18
Last Update Date:2021-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental