Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1770939571 Individual Practitioner Male Practitioner

Dr. Jared Reardon , DDS

Dentist - General Practice • Ashburn, VA

Professional Overview & Biography Verified Profile Summary

Dr. Jared Reardon, DDS is a registered healthcare professional specializing in Dentist - General Practice in Ashburn, VA. Practice services are available at 20745 WILLIAMSPORT PL STE 120 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

20745 Williamsport Pl Ste 120

Ashburn, VA 20147

Telephone 5713331250
Associated Practice Facility / Clinic
🏢 Lucy S. Lee O.d., P.l.l.c. Facility NPI 1881899441

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Ashburn, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.6 Yrs
Regional Practice Density
35 Specialists

Practicing in Ashburn, VA (3535 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License VA 0401415985

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License MA DN1857491

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Secondary Practice Locations

22 Mill St Ste 104

Arlington, MA 024764738

Phone: 7816480279

1001 S George St, York Hospital

York, PA 174033676

Phone: 7178512655

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

18 Historical Events
📍
Updated Practice Location May 29, 2018

Registered at 20745 WILLIAMSPORT PL STE 120, ASHBURN, VA 20147 (Tel: 5713331250)

📍
Updated Business Mailing Address May 29, 2018

Registered at 20745 WILLIAMSPORT PL STE 120, ASHBURN, VA 201476518 (Tel: 5713331250)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 29, 2018

Dentist (License #DN1857491 in MA)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Student in an Organized Health Care Education/Training Program

NPI Profile Active August 20, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location August 20, 2017

Registered at 22 MILL ST STE 104, ARLINGTON, MA 024764738 (Tel: (781) 648-0279)

📍
Updated Business Mailing Address August 20, 2017

Registered at 22 MILL ST., #104, ARLINGTON, MA 02476 (Tel: (781) 648-0279)

👤
Provider Name / Credentials Updated August 20, 2017

Recorded as JARED REARDON, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 20, 2017

Student in an Organized Health Care Education/Training Program

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 20, 2017

Dentist (License #DN1857491 in MA)

📍
Updated Business Mailing Address June 02, 2017

Registered at 22 MILL ST., #104, ARLINGTON, MA 02476 (Tel: (781) 648-0279)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 02, 2017

Dentist (License #DN1857491 in MA)

NPI Profile Active May 11, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location May 11, 2016

Registered at 1001 S GEORGE ST, YORK HOSPITAL, YORK, PA 174033676 (Tel: 7178512655)

📍
Updated Business Mailing Address May 11, 2016

Registered at 1001 S GEORGE ST, YORK HOSPITAL, YORK, PA 174033676 (Tel: 7178512655)

👤
Provider Name / Credentials Updated May 11, 2016

Recorded as JARED REARDON, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 11, 2016

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 11, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1770939571
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 11, 2016
Last Update: July 21, 2022
Sole Proprietor: No

Mailing Address

20745 Williamsport Pl Ste 120

Ashburn, VA 201476518

Phone: 5713331250

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.