Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AMANDA YACOUB
Active Sole ProprietorAMANDA YACOUB is a General Dentistry healthcare provider located in RESTON, Virginia. NPI 1336724897 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · RESTON, VA
Registration Details
- NPI Number
- 1336724897
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 16, 2021 (5.4153394587782 yrs)
- Last Updated
- May 25, 2023
- Licenses
-
DEN2000168 (DC)0401418068 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
11107 SUNSET HILLS RD STE 111RESTON, VA, 201905481Browse VA providers · Browse ZIP 20190
- Phone
- 7038603200
- Primary Specialty
-
General Dentistry
1223G0001X
- Additional Specialty
- General Dentistry
Other General Dentistry Providers in RESTON, VA
| Name | Credential | NPI |
|---|---|---|
| DR. ELAINE TALLORIN BARLAN | D.D.S. | 1801856182 |
| DR. JOSEPH EDWARD RUSZ JR. | D.D.S. | 1043273394 |
| DR. ARAMESH DARVISHIAN | DDS | 1922034206 |
| DR. SHANE RYAN COSTA | D.D.S | 1407889306 |
| DR. JOSEPH L. RICHARDSON III | DDS | 1538181862 |
| DR. CARLENE DAWN MARCUS | D.D.S. | 1538179908 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.