# RESTON DENTAL GROUP, PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Fusion Dental - Ashburn
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821155318
- **Authorized official:** HANNAH FISH (CREDENTIALING MANAGER)
- **Authorized official phone:** (217) 540-5699

## Contact information

- **Practice address:** 20955 PROFESSIONAL PLZ STE 110, ASHBURN, VA 20147-3405
- **Practice address phone:** (703) 723-0014
- **Practice address fax:** (703) 723-0949
- **Mailing address:** 20955 PROFESSIONAL PLZ STE 110, ASHBURN, VA 20147-3405
- **Mailing address phone:** (703) 723-0014
- **Mailing address fax:** (703) 723-0949

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | MD | Yes |

## Other

- **Enumeration date:** 01/03/2007
- **Last updated:** 08/08/2022