Dickson Dental, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401410681 Issued in VA

Legal business name

DICKSON DENTAL, PC

Practice address

5962 Richmond Hwy
Alexandria, VA 22303-1871

Phone

(571) 481-4410

Fax

(571) 481-4413

NPI assigned

Mar 5, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Stephanie Nichols Dickson, D.M.D.

Title

Owner/Dentist

Phone

(571) 481-4410

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1204675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204675200000",
    "number": "1649440736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5962 RICHMOND HWY",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223031871",
            "telephone_number": "571-481-4410",
            "fax_number": "571-481-4413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5962 RICHMOND HWY",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223031871",
            "telephone_number": "571-481-4410",
            "fax_number": "571-481-4413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DICKSON DENTAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-05",
        "last_updated": "2008-03-05",
        "status": "A",
        "authorized_official_last_name": "DICKSON",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "NICHOLS",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "571-481-4410",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401410681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacy L Diamonds, DPT
• Carolina Diaz-Tavera, P.T.
• Carmen Diaz, OTR/L
• Dicad Consulting Corp
• Brenna Martin Dicks, ESQ.
• Farida Arrabel Diego, FNP-C
• Dean Tu Diep
• Nicole Elizabeth Dierkes, DPT
• Marie Elizabeth Dierks, D.O.
• Dietetic Consultants of Northern Virginia, LLC

• General Practice Dentistry in Alexandria, VA
• Providers in Alexandria, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.