Shane R. Costa Dds, Pc is a Dental Clinic in Great Falls, Virginia. It is located at 10135 Colvin Run Rd, Suite 230, Great Falls, VA and its contact number is 804-690-2042. The authorized person for Shane R. Costa Dds, Pc is Dr. Shane1 Ryan Costa
who is Owner of the clinic and their contact number is 804-690-2042. The primary license number for Shane R. Costa Dds, Pc is 0401410911 (General Practice) in Virginia.
Shane R. Costa Dds, Pc Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Shane R. Costa Dds, Pc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Shane R. Costa Dds, Pc |
| Specialization: | General Practice Dentistry |
| Clinic Address: | 10135 Colvin Run Rd, Suite 230, Great Falls,
Virginia, 22066-1872 |
| Phone: | 804-690-2042 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Shane1 Ryan Costa |
| Position: | Owner |
| Contact Number: | 804-690-2042 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Shane R. Costa Dds, Pc clinic are as mentioned below.
| NPI Number: | 1740476993 |
| NPI Enumeration Date: | 21 Sep, 2007 |
| NPI Last Update On: | 21 Sep, 2007 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Shane R. Costa Dds, Pc are as mentioned below.
| Specialization | License Number | State | Status | |
| General Practice | 0401410911 | Virginia | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Shane R. Costa Dds, Pc
10135 Colvin Run Rd, Suite 230
Great Falls, Virginia |
| Zip: | 22066-1872 |
| Phone Number: | 804-690-2042 |
Patients can reach Shane R. Costa Dds, Pc at
10135 Colvin Run Rd, Suite 230, Great Falls, Virginia or can
call to book an appointment on 804-690-2042.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.