Healthcare Provider Details

I. General information

NPI: 1588767669
Provider Name (Legal Business Name): FARID A ZURMATI DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/06/2006
Last Update Date: 10/20/2025
Certification Date: 10/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5960 KINGSTOWNE CENTER BLVD SUITE 140
ALEXANDRIA VA
22315
US

IV. Provider business mailing address

2555 RESEARCH PARK DR
DAVIS CA
95618-6143
US

V. Phone/Fax

Practice location:
  • Phone: 703-719-9210
  • Fax: 703-719-6330
Mailing address:
  • Phone: 571-426-4393
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number101875
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: