Individual provider · Type 1 NPI

Amanda Yacoub

General Practice Dentistry · Reston, VA

NPI number 1336724897 Active

Practice location

11107 Sunset Hills Rd Ste 111
Reston, VA 20190-5481

Call (703) 860-3200 Map

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000XDEN2000168 (DC)
General Practice Dentistry Primary 1223G0001X0401418068 (VA)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

2 other providers at this address

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About NPI 1336724897

Amanda Yacoub's National Provider Identifier is 1336724897, issued on Mar 16, 2021. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Reston, VA. The record was last updated on May 25, 2023.