| Reston Endodontics, PLLC | |
|
12359 Sunrise Valley Dr Ste 210a Reston VA 20191-3493 | |
| (703) 399-2333 | |
| Not Available |
| Full Name | Reston Endodontics, PLLC |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 12359 Sunrise Valley Dr Ste 210a, Reston, Virginia |
| Authorized Official Name and Position | Matthew Scott Detar (OWNER/ENDODONTIST) |
| Authorized Official Contact | 7038516885 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Reston Endodontics, PLLC 14426 Beckett Glen Cir Chantilly VA 20151-2140 Ph: (703) 851-6885 | Reston Endodontics, PLLC 12359 Sunrise Valley Dr Ste 210a Reston VA 20191-3493 Ph: (703) 399-2333 |
| NPI Number | 1992444970 |
|---|---|
| Provider Enumeration Date | 05/31/2022 |
| Last Update Date | 05/31/2022 |
| Certification Date | 05/31/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992444970 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (NU) | Primary |
Anil Vuggam PLLC Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11868 Sunrise Valley Dr Ste 100, Reston, VA 20191 Phone: 703-373-0333 |
Orthodontic Precision Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 12359 Sunrise Valley Dr Ste 210, Reston, VA 20191 Phone: 703-391-8800 Fax: 703-391-8801 |
Smile Reston Heights Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11800 Sunrise Valley Dr Ste 200, Reston, VA 20191 Phone: 703-832-4740 |
Nadder M Hassan DDS Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11490 Commerce Park Dr Ste 110, Reston, VA 20191 Phone: 804-912-6733 |
Richard J. Morgan D.D.S.P.C. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11250 Roger Bacon Dr, #13, Reston, VA 20190 Phone: 703-437-7775 Fax: 703-437-5623 |
Reston Town Center Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1760 Reston Pkwy Ste 415, Reston, VA 20190 Phone: 703-956-9444 |