Shane Ryan Costa in Reston - General Practice
Shane Ryan Costa - NPI 1407889306
Shane Ryan Costa is a General Practice in Reston, Virginia. Shane Ryan Costa practices all healthcare services and medical treatments related to General Practice. The NPI Number for Shane Ryan Costa is 1407889306. The last update date is 2007-07-08.
Shane Ryan Costa's current location address is 1626 Apricot Ct, Reston, Virginia. You can contact this provider via phone number 7039569097 and fax number 7033912097. The mailing address for Shane Ryan Costa is 1626 Apricot Ct, Reston, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shane Ryan Costa |
|---|---|
| Address | 1626 Apricot Ct, Reston, Virginia |
| Phone Number | 7039569097 |
| Fax Number | 7033912097 |
| Sole Proprietor | Y |
| Credentials | D.D.S |
NPI Number Detail
| NPI Number | 1407889306 |
|---|---|
| Provider Enumeration Date | 2006-07-07 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1626 Apricot Ct |
|---|---|
| City | Reston |
| State | Virginia (VA) |
| Post Code | 201904404 |
| Phone Number | 7039569097 |
| Fax Number | 7033912097 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 401410911 |
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Definition: 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. |
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What is the unique identification code assigned to Shane Ryan Costa by the Centers for Medicare & Medicaid Services?
The Shane Ryan Costa has been issued the NPI (National Provider Identifier) 1407889306. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Shane Ryan Costa located?
The Shane Ryan Costa is located at 1626 Apricot Ct, Reston, VA 201904404.
What is Shane Ryan Costa's area of expertise and its corresponding taxonomy classification?
The Shane Ryan Costa's field of specialization is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their areas of practice.
On what date did the Shane Ryan Costa receive the assignment of its 1407889306 from the Centers for Medicare & Medicaid Services?
The Shane Ryan Costa was issued its 1407889306 by the Centers for Medicare & Medicaid Services on 2006-07-07.
As of what date were the Shane Ryan Costa's details last updated?
The information pertaining to the Shane Ryan Costa, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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