# ALEXANDRIA OLD TOWN DENTAL PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518465939
- **Authorized official:** DR. EDDIE SEYMOUR LONGMAN DDS (DENTIST/OWNER)
- **Authorized official phone:** (703) 549-1331

## Contact information

- **Practice address:** 1421 PRINCE ST STE 140, ALEXANDRIA, VA 22314-2771
- **Practice address phone:** (703) 549-1331
- **Practice address fax:** (703) 549-0480
- **Mailing address:** 1421 PRINCE ST STE 140, ALEXANDRIA, VA 22314-2771
- **Mailing address phone:** (703) 549-1331
- **Mailing address fax:** (703) 549-0480

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 0401004117 | VA | Yes |

## Other

- **Enumeration date:** 01/31/2018
- **Last updated:** 09/08/2020