Dr. Shane Ryan Costa is a Reston, Virginia based Dentist who is specialized in
General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Shane Ryan Costa is
0401410911 for General Practice Dentistry in Virginia. His current practice location is
1950 Roland Clarke Pl, Suite 450, Reston. Patients can reach him at
703-391-2600.
Dr. Shane Ryan Costa is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Shane Ryan Costa speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Dr. Shane Ryan Costa |
| Specialization: | Dentist |
| Gender: | Male |
| Credentials: | D.D.S |
| Accepts Medicare Assignment: | No |
| Practice Address: | 1950 Roland Clarke Pl, Suite 450, Reston,
Virginia, 20191-1414 |
| Phone: | 703-391-2600 |
| Fax: | 703-391-2097 |
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 are as mentioned below.
| NPI Number: | 1407889306 |
| NPI Enumeration Date: | 07 Jul, 2006 |
| NPI Last Update On: | 08 Jul, 2007 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Shane Ryan Costa are as mentioned below.
| License Number | Specialization | State | Status | |
| 0401410911 | General Practice Dentistry | Virginia | Primary | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1626 Apricot Ct,
Reston, Virginia |
| Zip: | 20190-4404 |
| Phone Number: | 703-956-9097 |
| Fax Number: | 703-391-2097 |
Patients can reach Dr. Shane Ryan Costa at
1950 Roland Clarke Pl, Suite 450, Reston, Virginia or can
call to book an appointment on 703-391-2600.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.