Organization Active NPI

Dentists of Old Town Alexandria

  • General Practice Dentistry
  • Alexandria, VA
National Provider Identifier
1780559450
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DENTISTS OF OLD TOWN ALEXANDRIA
Practice address
1438 Duke St
Alexandria, VA 22314-3403
Phone
(703) 212-0602
NPI assigned
Oct 10, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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

Authorized official

Name
Dentists of Old Town Alexandria
Title
Manager
Phone
(703) 212-0602

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1438 Duke St
Alexandria, VA 22314-3403

Mailing address

1438 Duke St
Alexandria, VA 22314-3403
Phone (703) 968-7022

National Provider Directory

National Provider Directory

Locations

1438 Duke St
Alexandria, VA 22314
Phone (703) 212-0602

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1760054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781654400000",
    "number": "1780559450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1438 DUKE ST",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223143403",
            "telephone_number": "703-968-7022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1438 DUKE ST",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223143403",
            "telephone_number": "703-212-0602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTISTS OF OLD TOWN ALEXANDRIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-10",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A",
        "authorized_official_last_name": "OLD TOWN ALEXANDRIA",
        "authorized_official_first_name": "DENTISTS OF",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "703-212-0602"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2026; 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.