Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1336724897 Individual Practitioner Female Practitioner

Amanda Yacoub

Dentist - General Practice • Reston, VA

Professional Overview & Biography Verified Profile Summary

Amanda Yacoub is a registered healthcare professional specializing in Dentist - General Practice in Reston, VA. Practice services are available at 11107 SUNSET HILLS RD STE 111 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

11107 Sunset Hills Rd Ste 111

Reston, VA 201905481

Telephone 7038603200
Associated Practice Facility / Clinic
🏢 Reston Dental Group, Pc Facility NPI 1427128669

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Reston, VA

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

Practicing in Reston, 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

CMS Verified: 2023-05-25
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License VA 0401418068

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

NUCC Taxonomy Code: 122300000X

State License DC DEN2000168

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

14 Associated Practitioners
Dr. Joseph Rusz , DDS

Dentist - General Practice

NPI 1043273394

Doctor of Dental Surgery

NPI 1043380272

Doctor of Dental Surgery

NPI 1245302272

Doctor of Dental Medicine

NPI 1255403283

DDSMS

Dr. Scott Synnott , DDS

Dentist - Prosthodontics

NPI 1295741411

Doctor of Dental Surgery

Dr. Matthew Gramkee , DDS

Dentist - Periodontics

NPI 1487679338

Doctor of Dental Surgery

Career & Practice History Timeline

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

12 Historical Events
📍
Updated Practice Location May 25, 2023

Registered at 11107 SUNSET HILLS RD STE 111, RESTON, VA 201905481 (Tel: 7038603200)

📍
Updated Business Mailing Address May 25, 2023

Registered at 11107 SUNSET HILLS RD STE 111, RESTON, VA 201905481 (Tel: 7038603200)

📍
Updated Practice Location February 09, 2023

Registered at 1090 VERMONT AVE NW UNIT 106, WASHINGTON, DC 200054905 (Tel: 2023151969)

📍
Updated Business Mailing Address February 09, 2023

Registered at 1090 VERMONT AVE NW UNIT 106, WASHINGTON, DC 200054905 (Tel: 2023151969)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 09, 2023

Dentist (License #DEN2000168 in DC)

📍
Updated Business Mailing Address November 21, 2021

Registered at 1340 BOYLSTON ST, BOSTON, MA 022154302

NPI Profile Active March 16, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location March 16, 2021

Registered at 1340 BOYLSTON ST, BOSTON, MA 022154302 (Tel: 6172670900)

📍
Updated Business Mailing Address March 16, 2021

Registered at 7075 MEADOW RIDGE DR, TERRE HAUTE, IN 478028197

👤
Provider Name / Credentials Updated March 16, 2021

Recorded as AMANDA YACOUB

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 16, 2021

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 16, 2021

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: 1336724897
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 16, 2021
Last Update: May 25, 2023
Sole Proprietor: Yes

Mailing Address

11107 Sunset Hills Rd Ste 111

Reston, VA 201905481

Phone: 7038603200

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.