Individual provider · Type 1 NPI

Shane Ryan Costa, D.D.S

General Practice Dentistry · Reston, VA

NPI number 1407889306 Active

Practice location

1950 Roland Clarke Pl, Suite 450
Reston, VA 20191-1414

Call (703) 391-2600 Map

Fax (703) 391-2097

Mailing address

1626 Apricot Ct
Reston, VA 20190-4404

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry Primary	1223G0001X	0401410911 (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.

3 other providers at this address

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About NPI 1407889306

Shane Ryan Costa, D.D.S's National Provider Identifier is 1407889306, issued on Jul 7, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Reston, VA. The record was last updated on Jul 8, 2007.