Dr. Fazel Fakhari
Dentist, Endodontics in Columbia, MD. Individual provider (NPI-1).
NPI number1972097285
StatusActive
Last updated in NPPESFeb 27, 2026
Details
- NPI
- 1972097285
- Entity type
- Individual (NPI-1)
- Name
- Dr. Fazel Fakhari
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 20, 2018
- Certification date
- Feb 27, 2026
- Last updated
- Feb 27, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223E0200X | Dentist, Endodontics | 16462 | MD | Yes |
Practice location
5840 Banneker Rd Ste 120Columbia, MD 21044-3165
Phone 410-772-9600
Mailing address
8537 Scholars LnLaurel, MD 20723-2019
Phone 240-599-6341
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