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AMANDA YACOUB
NPI 1336724897
Dentist - General Practice in Reston, VA

Active since March 16, 2021
11107 SUNSET HILLS RD STE 111, RESTON, VA 20190(703) 860-3200 Get Directions Write a Review

NPPES record last updated: May 25, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 25, 2023, Feb 9, 2023, Nov 21, 2021 and 1 more (4 updates tracked since 2021).

About Amanda Yacoub NPPES

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

AMANDA YACOUB (NPI 1336724897) is an individual general practice provider in Reston, Virginia, licensed in Virginia (0401418068) and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1336724897
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameAMANDA YACOUB
Location Address11107 SUNSET HILLS RD STE 111Reston, VA 20190-5481
Mailing Address11107 Sunset Hills Rd Ste 111Reston, VA 20190-5481 · (703) 860-3200
Phone(703) 860-3200
Sole ProprietorYes
Enumeration DateMarch 16, 2021
Last NPPES UpdateMay 25, 20234 updates tracked since enumeration
NPPES CertifiedMay 25, 2023
✔ NPI 1336724897 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in VA · 0401418068
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.
Also ListedDentistTaxonomy 122300000X · License DEN2000168 (DC)
11107 SUNSET HILLS RD STE 111, Reston, VA 20190
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Other Providers at the Same Location NPPES 2

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

RESTON DENTAL GROUP, PC
Clinic/Center (Dental)
11107 SUNSET HILLS RD STE 111
RESTON, VA 20190
Fairfax County (703) 860-3200
FUSION DENTAL
Dentist
11107 SUNSET HILLS RD STE 111
RESTON, VA 20190
Fairfax County (703) 860-3200

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 Amanda Yacoub's NPI number?

The NPI number for Amanda Yacoub is 1336724897. It was assigned to this individual provider in the NPPES registry on March 16, 2021.

Where is Amanda Yacoub located?

Amanda Yacoub practices at 11107 Sunset Hills Rd Ste 111, Reston, VA 20190. The listed phone number is (703) 860-3200.

What is Amanda Yacoub's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Amanda Yacoub accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Amanda Yacoub as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Amanda Yacoub was last updated on May 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.