Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Reza Nikookar

Individual provider Dentist · NPI 1013783166

Reza Nikookar is a Dentist in Glenn Dale, Maryland. Practices as a sole proprietor. Licensed in Maryland.

Licensed in
MD
In the registry since
2023
Specialties on file
2

Practice location Address checks out

12150 Annapolis Rd Ste 301
Glenn Dale, MD 20769-9183
Phone: (773) 875-0554
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 18347 (MD)
General Practice Dentistry Taxonomy 1223G0001X · Licence 18347 (MD)

Record details

NPI number1013783166
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 29, 2023
Last updated in NPPESNovember 29, 2023
Certification dateNovember 29, 2023
Mailing addressPo Box 7065, Gaithersburg, MD 20898-7065

Other providers in Glenn Dale