OrganizationActive
Reston Orthodontic Associates, PLLC
NPI 1487878690 · Health Maintenance Organization · Reston, VA
Provider details
- NPI number
- 1487878690
- Entity type
- Organization
- Primary specialty
- Health Maintenance OrganizationManaged Care Organizations
- Authorized official
- Lucy Mccabe, Administrator
- License
- 0401007980 (VA)
Practice location
1984 Isaac Newton Sq W Ste 200
Reston, VA 20190-5040
Phone: (703) 435-1500
Fax: (703) 435-3332
Mailing address
1984 Isaac Newton Sq W Ste 200
Reston, VA 20190-5040
Registry dates
- Enumerated
- 2007-04-12
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.