# NADERPLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ashburn Dental Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164820122
- **Authorized official:** DR. JASON NIKKHAH D.M.D. (DENTIST)
- **Authorized official phone:** (703) 459-5231

## Contact information

- **Practice address:** 44014 CHELTENHAM CIR, ASHBURN, VA 20147-4900
- **Practice address phone:** (703) 459-5231
- **Mailing address:** 44365 PREMIER PLZ, SUITE 230, ASHBURN, VA 20147-5057
- **Mailing address phone:** (703) 726-7508
- **Mailing address fax:** (703) 935-8018

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 0401414653 | VA | Yes |

## Other

- **Enumeration date:** 12/08/2014
- **Last updated:** 12/08/2014