Healthcare Provider Details

I. General information

NPI: 1760302962
Provider Name (Legal Business Name): SAFA NEWPORT DENTAL CORPORATION, INC. A PROFESSIONAL DENTAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2026
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20280 SW ACACIA ST STE 120
NEWPORT BEACH CA
92660-0782
US

IV. Provider business mailing address

960 E GREEN ST STE 111
PASADENA CA
91106-2401
US

V. Phone/Fax

Practice location:
  • Phone: 949-773-3636
  • Fax:
Mailing address:
  • Phone: 626-304-3636
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number
License Number State

VIII. Authorized Official

Name: YOUNES SAFA
Title or Position: OWNER
Credential: DDS
Phone: 626-304-3636