# NANA DICKSON, DDS PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Allegra Dental Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437521598
- **Authorized official:** DR. NANA ESI DICKSON DDS (OWNER/DENTIST)
- **Authorized official phone:** (571) 419-6897

## Contact information

- **Practice address:** 3040 WILLIAMS DR, SUITE \#201, FAIRFAX, VA 22031-4618
- **Practice address phone:** (571) 419-6897
- **Practice address fax:** (571) 419-6889
- **Mailing address:** 6251 CASDIN DR, ALEXANDRIA, VA 22310-2674
- **Mailing address phone:** (503) 803-8297
- **Mailing address fax:** (571) 419-6889

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 0401414277 | VA | Yes |

## Other

- **Enumeration date:** 10/28/2015
- **Last updated:** 11/11/2015