Individual
DR. FAZEL FAKHARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5840 BANNEKER RD STE 120, COLUMBIA, MD 21044-3165
(410) 772-9600
Mailing address
8537 SCHOLARS LN, LAUREL, MD 20723-2019
(240) 599-6341
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
16462
MD
1223G0001X
General Practice Dentistry
Primary
16462
MD
Other
Enumeration date
06/20/2018
Last updated
02/27/2026
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