Healthcare Provider Details

I. General information

NPI: 1437015500
Provider Name (Legal Business Name): ABASIN SAFI PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/01/2026
Last Update Date: 01/01/2026
Certification Date: 01/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2936 CHAIN BRIDGE RD STE 240
OAKTON VA
22124-3003
US

IV. Provider business mailing address

125 LIBERTY LN SW
VIENNA VA
22180-6234
US

V. Phone/Fax

Practice location:
  • Phone: 202-810-5257
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: ABASIN SAFI
Title or Position: PRESIDENT
Credential: DMD
Phone: 630-915-0829