Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. SHANE RYAN COSTA, D.D.S

Active Sole Proprietor

DR. SHANE RYAN COSTA, D.D.S is a General Dentistry healthcare provider located in RESTON, Virginia. NPI 1407889306 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · RESTON, VA

Registration Details

NPI Number: 1407889306
Provider Type: Individual
Gender: Male
NPI Issued: Jul 7, 2006 (20.060529037612 yrs)
Last Updated: Jul 8, 2007
License: 0401410911 (VA)
Sole Proprietor: Yes

Practice Information

Address: 1950 ROLAND CLARKE PL

SUITE 450

RESTON, VA, 201911414
Browse VA providers · Browse ZIP 20191
Phone: 7033912600
Fax: 7033912097
Primary Specialty: General Dentistry
1223G0001X

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. JOSEPH L. RICHARDSON III	DDS	1538181862
DR. CARLENE DAWN MARCUS	D.D.S.	1538179908
DR. JASON K HONG	DMD	1568577419

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.