# OLD TOWN DENTAL PARTNERS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Nova Dental Partners
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740566868
- **Authorized official:** DANA COLASANTO (FRONT OFFICE)
- **Authorized official phone:** (703) 683-6688

## Contact information

- **Practice address:** 225 REINEKERS LN STE GR2, ALEXANDRIA, VA 22314-2856
- **Practice address phone:** (703) 548-6100
- **Mailing address:** 1500 KING ST STE 300, ALEXANDRIA, VA 22314-2730
- **Mailing address phone:** (703) 683-6688

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 10838 | VA | Yes |

## Other

- **Enumeration date:** 11/03/2011
- **Last updated:** 06/23/2023