Provider Demographics
NPI:1336523943
Name:SAFI, ABASIN (DMD)
Entity Type:Individual
Prefix:
First Name:ABASIN
Middle Name:
Last Name:SAFI
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3445 DIEHL CT
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22041-2667
Mailing Address - Country:US
Mailing Address - Phone:630-915-0829
Mailing Address - Fax:
Practice Address - Street 1:501 H ST NE STE 200B
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-5679
Practice Address - Country:US
Practice Address - Phone:202-864-6449
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-13
Last Update Date:2023-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014182631223E0200X
IL019030277122300000X
DCDEN20002561223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223E0200XDental ProvidersDentistEndodontics