Shane R. Costa Dds, Pc

LBN: Shane R. Costa Dds, Pc
Shane R. Costa Dds, Pc is an health care organization with primary practice located at 10135 Colvin Run Rd Suite 230, Great Falls VA 22066-1872. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Shane R. Costa Dds, Pc can be contacted via phone (804) 690-2042, or through Costa, Shane1 Ryan via phone (804) 690-2042.

Contact Information

Primary practice address
10135 Colvin Run Rd Suite 230 Great Falls VA 22066-1872
Phone: (804) 690-2042
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Costa, Shane1 Ryan Doctor of Dental Surgery (DDS)
Phone: (804) 690-2042

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 0401410911 Virginia

Profile Details

NPI number 1740476993
LBN Legal business name Shane R. Costa Dds, Pc
DBA Doing business as
Authorized official Costa, Shane1 Ryan Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 21st, 2007
Last updated Sep 21st, 2007 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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