Healthcare Provider Details

I. General information

NPI: 1992215016
Provider Name (Legal Business Name): LEAH BYARS DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/03/2017
Last Update Date: 02/25/2026
Certification Date: 02/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1984 ISAAC NEWTON SQ W STE 201
RESTON VA
20190-5040
US

IV. Provider business mailing address

1984 ISAAC NEWTON SQ W STE 201
RESTON VA
20190-5040
US

V. Phone/Fax

Practice location:
  • Phone: 703-570-1117
  • Fax:
Mailing address:
  • Phone: 703-570-1117
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number0401415802
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: