MEDICARE: BAHAR BAHRAMI DDS PLLC

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	261QD0000X	Dental Clinic/Center

General Provider Information

NPI Number	:	1740132257
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BAHAR BAHRAMI DDS PLLC

Provider Business Mailing Address
First Line	:	8230 BOONE BLVD STE 100
Second Line	:
City	:	VIENNA
State	:	VA
Zip	:	22182-2647
Country	:	US
Telephone Number	:	703-790-0800
Fax Number	:	703-790-0880

Provider Business Practice Location Address
First Line	:	8230 BOONE BLVD STE 100
Second Line	:
City	:	VIENNA
State	:	VA
Zip	:	22182-2647
Country	:	US
Telephone Number	:	703-790-0800
Fax Number	:	703-790-0880

Authorized Official
Title or Position	:	OWNER/DENTIST
Name	:	DR. BAHARAK BAHRAMI
Credential	:	DDS
Telephone Number	:	703-790-0800

Provider Enumeration Date	:	02/10/2026
Last Update Date	:	02/10/2026

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