Provider Demographics
NPI:1801667886
Name:SAFI, MAHSA
Entity type:Individual
Prefix:
First Name:MAHSA
Middle Name:
Last Name:SAFI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 TECHNOLOGY DR UNIT C203
Mailing Address - Street 2:
Mailing Address - City:TRUMBULL
Mailing Address - State:CT
Mailing Address - Zip Code:06611-6347
Mailing Address - Country:US
Mailing Address - Phone:203-261-8674
Mailing Address - Fax:
Practice Address - Street 1:115 TECHNOLOGY DR UNIT C203
Practice Address - Street 2:
Practice Address - City:TRUMBULL
Practice Address - State:CT
Practice Address - Zip Code:06611-6347
Practice Address - Country:US
Practice Address - Phone:203-261-8674
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-10
Last Update Date:2025-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT144701223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice