Dana W. Ericksen in Fairfax - Dentist

Dana W. Ericksen - NPI 1417133851

Dana W. Ericksen is a Dentist in Fairfax, Virginia. Dana W. Ericksen practices all healthcare services and medical treatments related to Dentist. The NPI Number for Dana W. Ericksen is 1417133851. The last update date is 2008-01-16.

Dana W. Ericksen's current location address is 3554 Chain Bridge Rd, Fairfax, Virginia. You can contact this provider via phone number 7033853226 and fax number 7033851472. The mailing address for Dana W. Ericksen is 3554 Chain Bridge Rd, Fairfax, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Name Dana W. Ericksen
Address 3554 Chain Bridge Rd, Fairfax, Virginia
Phone Number 7033853226
Fax Number 7033851472
Sole Proprietor Y
Credentials DDS

NPI Number Detail

NPI Number 1417133851
Provider Enumeration Date 2008-01-16
Last Updated Date 2008-01-16

Provider Mailing Address Detail

Address 3554 Chain Bridge Rd
City Fairfax
State Virginia (VA)
Post Code 220302709
Phone Number 7033853226
Fax Number 7033851472

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 401006318
Definition:
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti

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FAQs about Dana W. Ericksen

What is the Dana W. Ericksen's unique identification number?

The Dana W. Ericksen has been assigned the NPI (National Provider Identifier) Number 1417133851 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you share the physical location details of Dana W. Ericksen?

The Dana W. Ericksen is situated at 3554 Chain Bridge Rd, in the city of Fairfax, state of VA, with the zip code 220302709.

What is Dana W. Ericksen's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Dana W. Ericksen is Dentist, and the corresponding taxonomy classification code for this specialized field is 122300000X.

On what date did Dana W. Ericksen receive its 1417133851 assignment from the Centers for Medicare & Medicaid Services?

The Dana W. Ericksen was assigned its 1417133851 on 2008-01-16, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Dana W. Ericksen, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Dana W. Ericksen, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-01-16.

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