Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amanda Yacoub

Individual provider Dentist · NPI 1336724897

Amanda Yacoub is a Dentist in Reston, Virginia. Practices as a sole proprietor. Licensed in District of Columbia and Virginia.

Licensed in
DC, VA
In the registry since
2021
Specialties on file
2

Practice location Address checks out

11107 Sunset Hills Rd Ste 111
Reston, VA 20190-5481
Phone: (703) 860-3200
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 0401418068 (VA)
Dentist Taxonomy 122300000X · Licence DEN2000168 (DC)

Record details

NPI number1336724897
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 16, 2021
Last updated in NPPESMay 25, 2023
Certification dateMay 25, 2023
Mailing address11107 Sunset Hills Rd Ste 111, Reston, VA 20190-5481

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