Healthcare Provider Details

I. General information

NPI: 1841938040
Provider Name (Legal Business Name): FAISAL ARKAN SHAKIR DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/26/2022
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7500 IRON BAR LN STE 203
GAINESVILLE VA
20155-3606
US

IV. Provider business mailing address

20388 ASHCROFT TER
STERLING VA
20165-7540
US

V. Phone/Fax

Practice location:
  • Phone: 703-745-5698
  • Fax:
Mailing address:
  • Phone: 571-315-2019
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number0401420226
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: