# MATT NIKPOURFARD DDS PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366864316
- **Authorized official:** MATT NIKPOURFARD (DDS)
- **Authorized official phone:** (703) 723-1200

## Contact information

- **Practice address:** 44121 HARRY BYRD HWY, SUITE 280, ASHBURN, VA 20147-5667
- **Practice address phone:** (703) 723-1200
- **Practice address fax:** (703) 723-7027
- **Mailing address:** 44121 HARRY BYRD HWY, SUITE 280, ASHBURN, VA 20147-5667
- **Mailing address phone:** (703) 723-1200
- **Mailing address fax:** (703) 723-7027

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 401410566 | VA | Yes |

## Other

- **Enumeration date:** 01/10/2014
- **Last updated:** 01/10/2014