# DENTISTS OF OLD TOWN ALEXANDRIA

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

## Provider details

- **NPI number:** 1780559450
- **Authorized official:** DENTISTS OF OLD TOWN ALEXANDRIA (MANAGER)
- **Authorized official phone:** (703) 212-0602

## Contact information

- **Practice address:** 1438 DUKE ST, ALEXANDRIA, VA 22314-3403
- **Practice address phone:** (703) 212-0602
- **Mailing address:** 1438 DUKE ST, ALEXANDRIA, VA 22314-3403
- **Mailing address phone:** (703) 968-7022

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 10/10/2025
- **Last updated:** 06/17/2026