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RIDGETOP DENTAL OF RESTON, PLLC
NPI 1295598985
Clinic/Center - Dental in Reston, VA

Active since February 05, 2024
1939 ROLAND CLARKE PL STE 120, RESTON, VA 20191(571) 313-0607 Get Directions Write a Review

NPPES record last updated: February 5, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ridgetop Dental Of Reston, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RIDGETOP DENTAL OF RESTON, PLLC (NPI 1295598985) is a healthcare organization registered as a dental in Reston, Virginia and active in the NPI registry since February 2024. The organization lists Dattathri Malyavantham, Owner, as its authorized official.

NPPES Registry Identity

NPI1295598985
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameRIDGETOP DENTAL OF RESTON, PLLC
Location Address1939 ROLAND CLARKE PL STE 120Reston, VA 20191-1445
Mailing Address1939 Roland Clarke Pl Ste 120Reston, VA 20191-1445 · (571) 313-0607
Phone(571) 313-0607
Organization SubpartNo
Authorized OfficialDattathri MalyavanthamOwner · (571) 313-0607
Enumeration DateFebruary 5, 2024
NPPES CertifiedFebruary 5, 2024
✔ NPI 1295598985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
1939 ROLAND CLARKE PL STE 120, Reston, VA 20191
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DEEPIKA NAIDU THOTA
Dentist (Prosthodontics)
1939 ROLAND CLARKE PL STE 120
RESTON, VA 20191
Fairfax County (571) 616-9685

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ridgetop Dental Of Reston, PLLC's NPI number?

The NPI number for Ridgetop Dental Of Reston, PLLC is 1295598985. It was assigned to this organization in the NPPES registry on February 5, 2024.

Where is Ridgetop Dental Of Reston, PLLC located?

Ridgetop Dental Of Reston, PLLC is located at 1939 Roland Clarke Pl Ste 120, Reston, VA 20191. The listed phone number is (571) 313-0607.

What is Ridgetop Dental Of Reston, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Ridgetop Dental Of Reston, PLLC was last updated on February 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.