IndividualActive
Edison Abril, DDS, MS
NPI 1174802623 · Periodontics · Fairfax, VA
Provider details
- NPI number
- 1174802623
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- DDS, MS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 0401413324 (VA)
Specialties & taxonomies
Dental Providers
Practice location
4210 Mozart Brigade Ln
Apartment Y
Fairfax, VA 22033-3906
Phone: (703) 870-5908
Approximate (ZIP-level) locationGet directions
Mailing address
4210 Mozart Brigade Ln
Fairfax, VA 22033-3906
Registry dates
- Enumerated
- 2011-08-15
- Last updated
- 2011-08-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.