MEDICARE: ALIREZA LOGHMANI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	DEN2001568	DC

General Provider Information

NPI Number	:	1295688026
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALIREZA LOGHMANI

Provider Business Mailing Address
First Line	:	7911 WESTPARK DR
Second Line	:
City	:	MC LEAN
State	:	VA
Zip	:	22102-4214
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1160 VARNUM ST NE STE 6
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20017-2110
Country	:	US
Telephone Number	:	202-854-7103
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/19/2026
Last Update Date	:	02/19/2026

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Directions to “ ALIREZA LOGHMANI ” Practice Location

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