Provider Demographics
NPI:1568354678
Name:SAFAROV, ARKADIY SERGEYEVICH (DMD)
Entity type:Individual
Prefix:
First Name:ARKADIY
Middle Name:SERGEYEVICH
Last Name:SAFAROV
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 1:10500 ROCKVILLE PIKE UNIT 1217
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-3349
Mailing Address - Country:US
Mailing Address - Phone:917-403-2593
Mailing Address - Fax:
Practice Address - Street 1:10500 ROCKVILLE PIKE UNIT 1217
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-3349
Practice Address - Country:US
Practice Address - Phone:917-403-2593
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-15
Last Update Date:2025-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program