# VIRGINIA DENTAL SOLUTIONS OF RESTON PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568324184
- **Authorized official:** KIM DAVIS (RCM DIRECTOR)
- **Authorized official phone:** (703) 568-5773

## Contact information

- **Practice address:** 1890 PRESTON WHITE DR STE 200, RESTON, VA 20191-5430
- **Practice address phone:** (703) 437-8811
- **Mailing address:** 1890 PRESTON WHITE DR STE 200, RESTON, VA 20191-5430
- **Mailing address phone:** (703) 437-8811

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | — | NULL | — |
| 1223E0200X | Endodontics | — | — | — |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 12/02/2025
- **Last updated:** 12/02/2025