SHANE R. COSTA DDS PC NPI 1740476993

NPI Information

  • NPI: 1740476993
  • Provider Name: SHANE R. COSTA DDS, PC
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 10135 COLVIN RUN RD
    SUITE 230
    GREAT FALLS, VA
    ZIP 22066
  • Phone: (804) 690-2042

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NPI Details

SHANE R. COSTA DDS, PC is a general practice dentist in Great Falls, VA. The provider is 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. SHANE R. COSTA DDS, PC NPI is 1740476993. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

10135 COLVIN RUN RD
SUITE 230
GREAT FALLS, VA
ZIP 22066-872
Phone: (804) 690-2042

The provider's authorized official is Shane1 Ryan Costa .
The authorized official title is Owner and has the following contact phone number (804) 690-2042.

The enumeration date for this NPI number is 9/21/2007 and was last updated on 9/21/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice0401410911VIRGINIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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