- Practice location
- 20745 Williamsport Pl Ste 120, Ashburn, VA 20147
- Phone
- 571-333-1250
- Fax
- —
- Last updated
- July 21, 2022
Jared Reardon is a Dentist, General Practice based in Ashburn, VA. Jared Reardon practices in Ashburn, VA and has the professional credentials of DDS. The NPI Number for Jared Reardon is 1770939571 and holds a License No. DN1857491 (MA). The current practice location address for Jared Reardon is 20745 Williamsport Pl Ste 120, Ashburn, VA 20147 and can be reached out via phone at 571-333-1250.
Provider Profile Details
- NPI Number
- 1770939571
- Provider Name
- Jared Reardon
- Credential
- DDS
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 20745 Williamsport Pl Ste 120, Ashburn, VA 20147
- Phone Number
- 571-333-1250
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 11, 2016
- Last Update Date
- July 21, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 20745 Williamsport Pl Ste 120
Ashburn, VA 20147 - City
- Ashburn
- State
- Virginia
- Zip
- 20147
- Phone Number
- 571-333-1250
Provider Business Mailing Address Details
- Address
- 20745 Williamsport Pl Ste 120
Ashburn, VA 20147-6518 - City
- Ashburn
- State
- VA
- Zip
- 20147-6518
- Phone Number
- 571-333-1250
License Information
- License Number (1)
- DN1857491
- License State (1)
- MA
- Taxonomy (1)
- Dentist, General Practice · 1223G0001X
- Taxonomy (2)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (3)
- 0401415985
- License State (3)
- VA
- Taxonomy (3)
- Dentist, General Practice · 1223G0001X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Jared Reardon, DDS?
The NPI number of Dr. Jared Reardon, DDS is 1770939571. It was assigned on May 11, 2016 and is currently active in the NPPES registry.
What is the specialty of Dr. Jared Reardon, DDS?
Dr. Jared Reardon, DDS is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number DN1857491.
Where does Dr. Jared Reardon, DDS practice?
The practice location is 20745 Williamsport Pl Ste 120, Ashburn, VA 20147. The office can be reached at 571-333-1250 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1770939571 directly on the NPPES registry website.