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SHANE R. COSTA DDS, PC
NPI 1740476993
Dentist - General Practice in Great Falls, VA

Active since September 21, 2007
10135 COLVIN RUN RD, SUITE 230, GREAT FALLS, VA 22066(804) 690-2042 Get Directions Write a Review

NPPES record last updated: September 21, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shane R. Costa Dds, Pc NPPES

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

SHANE R. COSTA DDS, PC (NPI 1740476993) is a healthcare organization registered as a general practice in Great Falls, Virginia and active in the NPI registry since September 2007. The organization lists Shane1 Ryan Costa, Owner, as its authorized official.

NPPES Registry Identity

NPI1740476993
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSHANE R. COSTA DDS, PC
Location Address10135 COLVIN RUN RD, SUITE 230Great Falls, VA 22066-1872
Mailing Address10135 Colvin Run Rd, Suite 230Great Falls, VA 22066-1872 · (804) 690-2042
Phone(804) 690-2042
Organization SubpartNo
Authorized OfficialShane1 Ryan CostaOwner · (804) 690-2042
Enumeration DateSeptember 21, 2007
✔ NPI 1740476993 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in VA · 0401410911
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.
10135 COLVIN RUN RD, Great Falls, VA 22066
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

JORDAN KFOURY
Physical Therapist
10135 COLVIN RUN RD
GREAT FALLS, VA 22066
Fairfax County (703) 637-8624
DR. RANDALL L DOERMAN M.D.
Internal Medicine
10135 COLVIN RUN RD, SUITE 220
GREAT FALLS, VA 22066
Fairfax County (703) 757-3870

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 Shane R. Costa Dds, PC's NPI number?

The NPI number for Shane R. Costa Dds, PC is 1740476993. It was assigned to this organization in the NPPES registry on September 21, 2007.

Where is Shane R. Costa Dds, PC located?

Shane R. Costa Dds, PC is located at 10135 Colvin Run Rd Suite 230, Great Falls, VA 22066. The listed phone number is (804) 690-2042.

What is Shane R. Costa Dds, PC's specialty?

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

When was this NPI record last updated?

The NPPES record for Shane R. Costa Dds, PC was last updated on September 21, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.